Healthcare Provider Details

I. General information

NPI: 1508052580
Provider Name (Legal Business Name): DR. WARREN W. ARRASMITH, DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 17TH ST N
BESSEMER AL
35020-8900
US

IV. Provider business mailing address

429 17TH ST N
BESSEMER AL
35020-8900
US

V. Phone/Fax

Practice location:
  • Phone: 205-424-8214
  • Fax:
Mailing address:
  • Phone: 205-424-8214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2835
License Number StateAL

VIII. Authorized Official

Name: DR. WARREN W ARRASMITH
Title or Position: ORAL SURGEON
Credential:
Phone: 205-424-8214