Individual
DR. HENRY EARL MCKAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2290 VALLEYDALE ROAD, SUITE 100, BIRMINGHAM, AL 35244-2011
(205) 682-1099
(205) 403-7383
Mailing address
2290 VALLEYDALE ROAD, SUITE 100, BIRMINGHAM, AL 35244-2011
(205) 682-1099
(205) 403-7383
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4649
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92636
BCBS PROVIDER NUMBER
AL
Enumeration date
08/21/2006
Last updated
11/16/2012
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