Healthcare Provider Details

I. General information

NPI: 1699162834
Provider Name (Legal Business Name): HAROLD H WEHBY DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 04/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 SPENCER AVE AUBURN CITY SCHOOLS CLINIC
AUBURN AL
36830-2929
US

IV. Provider business mailing address

1919 OXMOOR RD SUITE # 124
BIRMINGHAM AL
35209-3502
US

V. Phone/Fax

Practice location:
  • Phone: 205-281-1493
  • Fax:
Mailing address:
  • Phone: 205-281-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number3285
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3285
License Number StateAL

VIII. Authorized Official

Name: DR. HAROLD HERBERT WEHBY
Title or Position: PRESIDENT
Credential:
Phone: 205-281-1493