Individual
DR. BOBBY FERRIS SHUNNARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
711 WADSWORTH ST, MONTEVALLO, AL 35115-3531
(205) 665-2224
(205) 665-2245
Mailing address
711 WADSWORTH ST, MONTEVALLO, AL 35115-3531
(205) 665-2224
(205) 665-2245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5201
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1506784
UNITED CONCORDIA
AL
01
—
515-15614
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/26/2007
Last updated
07/08/2007
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