Healthcare Provider Details

I. General information

NPI: 1396514121
Provider Name (Legal Business Name): JANAVI DEVI NATHALIE MONTAS BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 GADSDEN HWY STE 112
BIRMINGHAM AL
35235-3205
US

IV. Provider business mailing address

2000 2ND AVE S # APA303
BIRMINGHAM AL
35233-2063
US

V. Phone/Fax

Practice location:
  • Phone: 205-661-8078
  • Fax:
Mailing address:
  • Phone: 239-342-9613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007688-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: