Individual
DR. JAY PONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3411
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-4011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63540
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
46593
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
46593
AL
Other
Enumeration date
07/03/2015
Last updated
05/16/2024
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