Individual
DR. NORMAN GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 WOODCREST PL, SUITE 240, BIRMINGHAM, AL 35209-1331
(205) 870-9630
(205) 870-4040
Mailing address
2340 WOODCREST PL, SUITE 240, BIRMINGHAM, AL 35209-1331
(205) 870-9630
(205) 870-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4639
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60312
BCBS PROVIDER NUMBER
AL
Enumeration date
03/22/2007
Last updated
07/08/2007
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