Organization
ORTHODONTICS WEST P.C.
Active
Organization
ORTHODONTICS WEST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THACKER (OWNER)
(205) 798-6096
Entity
Organization
Contact information
Practice address
1436 BEAUTY CIR, BIRMINGHAM, AL 35214-3008
(205) 798-6096
(205) 798-6096
Mailing address
1436 BEAUTY CIR, BIRMINGHAM, AL 35214-3008
(120) 579-8609
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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