Organization
ACIPCO DENTAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL REDMOND DMD (PRESIDENT)
(205) 325-7004
Entity
Organization
Contact information
Practice address
3200 16TH ST N, BIRMINGHAM, AL 35207-4202
(205) 325-7004
(205) 325-1976
Mailing address
P.O. BOX 12725, BIRMINGHAM, AL 35202-2725
(205) 325-7004
(205) 325-1976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5213
AL
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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