1917 Dental Clinic

LBN: 1917 Dental Clinic
1917 Dental Clinic is an health care organization with primary practice located at 3220 5Th Ave S # 2022 , Birmingham AL 35222-2309. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 1917 Dental Clinic can be contacted via phone (205) 975-9842, or through Story, Jacquiselyn via phone (205) 934-5088.

Contact Information

Primary practice address
3220 5Th Ave S # 2022 Birmingham AL 35222-2309
Phone: (205) 975-9842
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Story, Jacquiselyn
Phone: (205) 934-5088

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1093452633
LBN Legal business name 1917 Dental Clinic
DBA Doing business as
Authorized official Story, Jacquiselyn
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2022
Last updated May 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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