Individual
ROBERT TERRELL UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1038 MT. OLIVE ROAD, GARDENDALE, AL 35071-3443
(205) 631-8066
(205) 631-8021
Mailing address
1038 MT. OLIVE ROAD, GARDENDALE, AL 35071-3443
(205) 631-8066
(205) 631-8021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4885
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51096265
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/17/2006
Last updated
07/08/2007
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