Individual
DR. CAROL ANN NICROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1324 MAIN ST, GARDENDALE, AL 35071
(205) 631-4572
Mailing address
PO BOX 908, GARDENDALE, AL 35071-0908
(205) 631-4572
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-06005
BCBS PROVIDER #
AL
Enumeration date
10/17/2006
Last updated
07/08/2007
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