Organization
ALABAMA DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE B ALBRITTON DMD (OWNER)
(205) 879-9761
Entity
Organization
Contact information
Practice address
536 COBB ST, HOMEWOOD, AL 35209-6511
(205) 879-9761
(205) 879-6565
Mailing address
PO BOX 660845, BIRMINGHAM, AL 35266-0845
(205) 879-9761
(205) 879-6565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4348
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529802060
—
AL
Enumeration date
04/03/2007
Last updated
01/19/2010
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