Individual
DR. DARRYL LYNN WAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
102 HILLTOP BUSINESS CTR. DR., STE. B, PELHAM, AL 35124
(205) 988-4488
(205) 988-8815
Mailing address
PO BOX 669, PELHAM, AL 35124-0669
(205) 988-4488
(205) 988-8815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4552
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51522827
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
12/19/2006
Last updated
07/08/2007
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