Organization
JEFFERSON COUNTY BOARD OF HEALTH
Active
Other names
Central Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHEWANDA CLARK (REVENUE INTEGRITY SUPERVISOR)
(205) 558-2158
Entity
Organization
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1015
(205) 930-1448
Mailing address
PO BOX 2648, BIRMINGHAM, AL 35202-2648
(205) 930-1015
(205) 930-1448
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529917450
—
AL
Enumeration date
11/21/2006
Last updated
02/12/2019
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