Underwood, Robert Terrell

Underwood, Robert Terrell is an individual health care provider with primary practice located at 1038 Mt. Olive Road , Gardendale AL 35071-3443. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Underwood, Robert Terrell can be contacted via phone (205) 631-8066.

Contact Information

Primary practice address
1038 Mt. Olive Road Gardendale AL 35071-3443
Phone: (205) 631-8066
Fax: (205) 631-8021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4885 Alabama

Profile Details

NPI number 1841371929
LBN Legal business name Underwood, Robert Terrell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841371929 NPPES
Alabama Other 51096265 BLUE CROSS BLUE SHIELD

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