Organization
T. COOPER COLQUITT, DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI COOPER COLQUITT DDS, MSD (PRESIDENT/PERIODONTIST)
(205) 785-7901
Entity
Organization
Contact information
Practice address
401 TUSCALOOSA AVE SW, SUITE 210, BIRMINGHAM, AL 35211-1416
(205) 785-7901
(205) 785-7904
Mailing address
401 TUSCALOOSA AVE SW, SUITE 210, BIRMINGHAM, AL 35211-1416
(205) 785-7901
(205) 785-7904
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5033
AL
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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