Individual
DR. JACK SMALLEY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1100 FAIRFAX PARK, TUSCALOOSA, AL 35406-2809
(205) 752-3506
(205) 752-3570
Mailing address
1100 FAIRFAX PARK, TUSCALOOSA, AL 35406-2809
(205) 752-3506
(205) 752-3570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL 3757
AL
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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