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General NPI Number Information
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NPI Number | 1023247632
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Entity Type | Organization
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Legal Business Name | ROSS BRIDGE FAMILY & COSMETIC DENTISTRY
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 2201 GRAND AVE SUITE #113
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City | HOOVER
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State | AL
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Zip | 35226-6102
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Country | US
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Telephone | 205-945-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 GRAND AVE SUITE #113
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City | HOOVER
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State | AL
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Zip | 35226-6102
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Country | US
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Telephone | 205-945-3035
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Fax |
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Authorized Official
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Title or Position | PARTNER WITH DR. GIA M. BROTHERS
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Name | DR. M. JAMIE MOUNT
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Credential | D.M.D.
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Telephone | 205-821-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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