Individual
DR. DEBORAH BATES LIVEOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2227 DRAKE AVE SW, BRAHAN SPRINGS PROFESSIONAL VILLAGE SUITE 10A, HUNTSVILLE, AL 35805
(256) 882-2227
(256) 882-2252
Mailing address
2227 DRAKE AVE SW, BRAHAN SPRINGS PROFESSIONAL VILLAGE SUITE 10A, HUNTSVILLE, AL 35805
(256) 882-2227
(256) 882-2252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3865
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51090171
BLUE CROSS PROVIDER NUMBE
AL
01
—
872873
UNITED CONCORDIA PROVIDER
AL
Enumeration date
01/16/2007
Last updated
07/08/2007
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