Organization
CAROL ANN D. NICROSI DMD, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANN NICROSI DMD (DENTIST)
(205) 631-4572
Entity
Organization
Contact information
Practice address
1324 MAIN ST, GARDENDALE, AL 35071
(205) 631-4572
(205) 631-4979
Mailing address
1324 MAIN ST., P.O. BOX 908, GARDENDALE, AL 35071
(205) 631-4572
(205) 631-4979
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3725
AL
1223P0221X
Pediatric Dentistry
Primary
4725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-06005
BCBS PROVIDER #
AL
01
—
51505999
BCBS PROVDIER #
AL
Enumeration date
10/10/2006
Last updated
08/22/2020
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