Individual
DR. PAUL MIKE UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
815 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 752-4343
(205) 752-4347
Mailing address
815 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 752-4343
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4470
AL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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