Healthcare Provider Details

I. General information

NPI: 1215854948
Provider Name (Legal Business Name): HOMEWOOD FAMILY & COSMETIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1752 OXMOOR RD
BIRMINGHAM AL
35209-4056
US

IV. Provider business mailing address

1904 NOTTINGHAM DR
VESTAVIA HILLS AL
35216-2614
US

V. Phone/Fax

Practice location:
  • Phone: 205-305-3396
  • Fax:
Mailing address:
  • Phone: 205-305-3396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LYNN MCMULLAN
Title or Position: PRACTICE OWNER
Credential: DMD
Phone: 205-305-3396