Deep, Larry Gene
Deep, Larry Gene is an individual health care provider with primary practice located at 4515 Southlake Pkwy Suite 101, Birmingham AL 35244-3317. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Deep, Larry Gene can be contacted via phone (205) 988-5656.Contact Information
Primary practice address
4515 Southlake Pkwy Suite 101
Birmingham AL 35244-3317
Phone: (205) 988-5656
Fax: (205) 988-3972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | LN0 3410 | Alabama |
Profile Details
| NPI number | 1518981034 |
|---|---|
| LBN Legal business name | Deep, Larry Gene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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