Individual
JEFFREY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5751 POCAHONTAS RD, BESSEMER, AL 35022-5476
(205) 477-4242
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007214-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2023
Last updated
06/29/2023
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