Healthcare Provider Details

I. General information

NPI: 1912776733
Provider Name (Legal Business Name): ERICK MOLINA DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 32ND ST S
BIRMINGHAM AL
35233-3500
US

IV. Provider business mailing address

716 32ND ST S
BIRMINGHAM AL
35233-3500
US

V. Phone/Fax

Practice location:
  • Phone: 205-751-6649
  • Fax:
Mailing address:
  • Phone: 205-751-6649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD007683-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: