Organization
JERRY W. REASNER, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY W REASNER DMD (OWNER)
(205) 595-2626
Entity
Organization
Contact information
Practice address
924 MONTCLAIR ROAD, SUITE 101, BIRMINGHAM, AL 35213
(205) 595-2626
(205) 592-9241
Mailing address
924 MONTCLAIR RD, SUITE 101, BIRMINGHAM, AL 35213-1211
(205) 595-2626
(205) 592-9241
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4009
AL
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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