Organization
DENTAL ASSOCIATES OF ROEBUCK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL GREGORY HAWKINS DMD (DENTIST)
(256) 353-5600
Entity
Organization
Contact information
Practice address
313 AARON DR, BIRMINGHAM, AL 35215-8201
(205) 836-0877
Mailing address
1408 7TH AVE SE, DECATUR, AL 35601-4216
(256) 353-5600
(256) 351-8006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4231
AL
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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