Organization
HOMETOWN FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F. PERRY D.M.D. (PRESIDENT)
(205) 836-7276
Entity
Organization
Contact information
Practice address
9133 PARKWAY E, SUITE 101B, BIRMINGHAM, AL 35206
(205) 836-7276
Mailing address
9133 PARKWAY E, SUITE 101B, BIRMINGHAM, AL 35206
(205) 836-7276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4250
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-28675
BC/BS PROVIDER NUMBER
AL
Enumeration date
09/29/2006
Last updated
03/24/2014
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