Individual
DR. BRIAN RAY OLIVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1100 HILLCREST RD, STE D, MOBILE, AL 36695-3919
(251) 639-0801
(251) 639-1446
Mailing address
1100 HILLCREST RD, STE D, MOBILE, AL 36695-3919
(251) 639-0801
(251) 639-1446
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5090
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5090
STATE LICENSE NO.
AL
Enumeration date
06/08/2005
Last updated
07/08/2007
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