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NPI Code Detail

MEDICARE: DR. ANN B. O'REAR D.M.D.

MEDICARE: DR. ANN B. O'REAR D.M.D.
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 Dentistry3614AL

General Provider Information

NPI Number : 1386791770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN B. O'REAR D.M.D.
Provider Business Mailing Address
First Line : 2017 SWEETGUM DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-1612
Country : US
Telephone Number : 205-987-3385
Fax Number :
Provider Business Practice Location Address
First Line : 2619 PELHAM PKWY
Second Line :
City : PELHAM
State : AL
Zip : 35124-1322
Country : US
Telephone Number : 205-663-7786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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