Individual
SHAWN Y BURL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
139 3RD AVE W, BIRMINGHAM, AL 35204-4114
(205) 254-8555
(205) 254-8744
Mailing address
139 3RD AVE W, BIRMINGHAM, AL 35204-4114
(205) 254-8555
(205) 254-8744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4077
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043851580
TAX ID
AL
01
—
195624
UNITED CONCORDIA
AL
01
—
51517010
BLUE CROSS BLUE SHIELD
AL
01
—
631263166
TAX ID
AL
Enumeration date
04/20/2007
Last updated
05/28/2019
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