Crestline Village Dentistry

LBN: Crestline Village Dentistry
Crestline Village Dentistry is an health care organization with primary practice located at 244 Country Club Park , Birmingham AL 35213-4200. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Crestline Village Dentistry can be contacted via phone (205) 870-5700, or through Jones, Georgia C via phone (205) 870-5700.

Contact Information

Primary practice address
244 Country Club Park Birmingham AL 35213-4200
Phone: (205) 870-5700
Fax: (205) 870-5699
Website:
Map and Directions
Authorized official contact:
Name: Jones, Georgia C Doctor of Dental Medicine (DMD)
Phone: (205) 870-5700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5014 Alabama

Profile Details

NPI number 1174713895
LBN Legal business name Crestline Village Dentistry
DBA Doing business as
Authorized official Jones, Georgia C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174713895 NPPES
Alabama Other 5014 ALABAMA DENTAL LICENSE NU

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