Healthcare Provider Details

I. General information

NPI: 1932750882
Provider Name (Legal Business Name): BMH DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 GREEN VALLEY RD STE 101
VESTAVIA AL
35243-5256
US

IV. Provider business mailing address

3145 GREEN VALLEY RD STE 101
VESTAVIA AL
35243-5256
US

V. Phone/Fax

Practice location:
  • Phone: 205-970-7292
  • Fax:
Mailing address:
  • Phone: 205-970-7292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTANY M HENRY
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 205-970-7292