Individual
DR. DAVID WILLIAM CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2045 BROOKWOOD MEDICAL CTR DR, SUITE 24, BIRMINGHAM, AL 35209-6874
(205) 870-8833
(205) 870-0120
Mailing address
2045 BROOKWOOD MEDICAL CTR DR, SUITE 24, BIRMINGHAM, AL 35209-6874
(205) 870-8833
(205) 870-0120
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3661
AL
1223E0200X
Endodontics
9500
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440479
UNITED CONCORDIA
AL
01
—
515-03125
BLUE CROSS AND BLUE SHIEL
AL
Enumeration date
08/31/2006
Last updated
03/08/2011
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