Individual
DR. JAMES H GILLESPIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2660 10TH AVE S, SUITE 632, BIRMINGHAM, AL 35205-1605
(205) 250-6813
(205) 250-6843
Mailing address
2660 10TH AVE S STE 632, BIRMINGHAM, AL 35205-1627
(205) 250-6813
(205) 250-6843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4377
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03782
BCBS PROVIDER #
AL
01
—
4377
STATE DENTAL LICENSE #
AL
Enumeration date
03/26/2007
Last updated
01/28/2016
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