Organization
DENTAL ASSOCIATES OF TUSCALOOSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ANDREW FIKES DMD MAGD (OWNER DENTIST)
(205) 345-7755
Entity
Organization
Contact information
Practice address
217 MCFARLAND CIRCLE NORTH, TUSCALOOSA, AL 34506
(205) 345-7755
(205) 343-9075
Mailing address
217 MCFARLAND CIRCLE NORTH, TUSCALOOSA, AL 34506
(205) 345-7755
(205) 343-9075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3162
AL
122300000X
Dentist
Primary
5177
AL
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51506076
BLUE CROSS BLUE SHIELD
AL
01
—
51526480
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/03/2006
Last updated
09/11/2025
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