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NPI Code Detail

MEDICARE: R HENRY ESHAM II DMD, PC

MEDICARE: R HENRY ESHAM II DMD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6036AL

General Provider Information

NPI Number : 1174949549
Entity Type Code : Organization
Provider Name (Legal Business Name) : R HENRY ESHAM II DMD, PC
Provider Business Mailing Address
First Line : 703 BISHOP LN N
Second Line :
City : MOBILE
State : AL
Zip : 36608-5838
Country : US
Telephone Number : 251-343-0501
Fax Number :
Provider Business Practice Location Address
First Line : 703 BISHOP LN N
Second Line :
City : MOBILE
State : AL
Zip : 36608-5838
Country : US
Telephone Number : 251-343-0501
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD HENRY ESHAM II
Credential : DMD
Telephone Number : 251-343-0501
Provider Enumeration Date : 03/10/2014
Last Update Date : 03/10/2014

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Directions to “R HENRY ESHAM II DMD, PC ” Practice Location

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