Organization
BALDONE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J. BALDONE DDS (PRESIDENT)
(205) 907-3004
Entity
Organization
Contact information
Practice address
8000 LIBERY PKWY, SUITE 126, BIRMINGHAM, AL 35242
(205) 970-3004
Mailing address
8000 LIBERY PKWY, SUITE 126, BIRMINGHAM, AL 35242
(205) 970-3004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4140
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4140
DENTAL LICENSE NUMBER
AL
Enumeration date
06/27/2008
Last updated
06/27/2008
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