Organization
NORTHPORT PERIODONTICS AND IMPLANT DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LIU DMD, MS (OWNER)
(205) 737-4667
Entity
Organization
Contact information
Practice address
920 ROSE DR, NORTHPORT, AL 35476-3363
(205) 737-4667
Mailing address
2687 SWISS LN, HOOVER, AL 35226-2361
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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