Organization
UNIVERSITY OF ALABAMA BIRMINGHAM
Active
Other names
UAB DENTAL FACULTY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
JONI ROUSSE WYATT (DIRECTOR, UAB DENTAL FACULTY PRACTI)
(205) 996-7409
Entity
Organization
Contact information
Practice address
1919 7TH AVE SOUTH SDB BOX 538, BIRMINGHAM, AL 35294-0001
(205) 934-2340
(205) 934-7899
Mailing address
1919 7TH AVE SOUTH SDB BOX 538, BIRMINGHAM, AL 35294-0001
(205) 934-2340
(205) 934-7899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
07/11/2008
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