Organization
NORTH SHELBY DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W COWAN DMD (OWNER/DENTIST)
(205) 278-3316
Entity
Organization
Contact information
Practice address
2000 SOUTHLAKE PARK, SUITE 250, HOOVER, AL 35244-3616
(205) 278-3316
Mailing address
2000 SOUTHLAKE PARK, SUITE 250, HOOVER, AL 35244-3616
(205) 278-3316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4292
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51091025
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/27/2014
Last updated
05/27/2014
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