Individual
MR. JOHN SEBASTIAN BIVONA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST GP DMD
Contact information
Practice address
1430 3RD AVE N, BESSEMER, AL 35020
(205) 428-4086
(205) 428-4088
Mailing address
1430 3RD AVE N, BESSEMER, AL 35020
(205) 428-4086
(205) 428-4088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3145
AL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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