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Individual

DR. AMY T PARVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D. M. D.

Contact information

Practice address
925 SHARIT AVE, SUITE 113, GARDENDALE, AL 35071-5000
(205) 631-2240
(205) 631-1611
Mailing address
925 SHARIT AVE, SUITE 113, GARDENDALE, AL 35071-5000
(205) 631-2240
(205) 631-1611

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4970
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356891
UCCI PROVIDER #
AL
01
51531288
BCBS OF ALABAMA PROVIDER#
AL
Enumeration date
10/12/2006
Last updated
07/09/2007
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