Organization
CHILDERSBURG FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE WEAVER DMD (DENTIST, OWNER)
(256) 694-1958
Entity
Organization
Contact information
Practice address
138 9TH AVE SW, CHILDERSBURG, AL 35044-1642
(256) 378-3127
Mailing address
3810 10TH AVE S, BIRMINGHAM, AL 35222-4206
(205) 500-9062
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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