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Individual

LISA EICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2201 ARLINGTON AVE, JEFFERSON COUNTY HEALTH DEPT-BESSEMER DENTAL CLINIC, BIRMINGHAM, AL 35020
(205) 930-1422
(205) 930-1448
Mailing address
2201 ARLINGTON AVE, JEFFERSON COUNTY HEALTH DEPT-BESSEMER DENTAL CLINIC, BIRMINGHAM, AL 35020
(205) 930-1422
(205) 930-1448

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4488
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009934355
AL
05
009934365
AL
05
009934375
AL
05
009934385
AL
01
51513228EIC
BLUE CROSS#-CENTRAL DENTA
AL
01
51513229EIC
BLUE CROSS#-BESSEMER DENT
AL
01
51513230
BLUE CROSS BLUE SHIELD WESTERN DENTAL
AL
01
51548198
BLUE CROSS BLUE SHIELD EASTERN DENTAL
AL
Enumeration date
10/17/2006
Last updated
01/04/2011
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