Organization
DR. SHAWN BURL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN BURL DDS (OWNER)
(205) 254-8555
Entity
Organization
Contact information
Practice address
139 3RD AVE W, BIRMINGHAM, AL 35204-4114
(205) 254-8555
Mailing address
139 3RD AVE W, BIRMINGHAM, AL 35204-4114
(205) 254-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150802
—
AL
01
—
4077
DENTAL LIC
AL
Enumeration date
05/09/2019
Last updated
06/11/2019
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