Individual
TINA MARIE CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
14312 WHITE OAK DR, TUSCALOOSA, AL 35405-9263
(205) 933-8101
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5047
AL
124Q00000X
Dental Hygienist
Primary
5049
AL
Other
Enumeration date
02/25/2026
Last updated
03/05/2026
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