DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEVETA PEOPLES DENTIST

MEDICARE:   DEVETA  PEOPLES  DENTIST
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 Dentistry4065AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1510-06353 CENTRALOTHERALBLUE CROSS BLUE SHIELD
2510-06354OTHERALBLUE CROSS BLUE SHIELD
3510-06361 EASTERNOTHERALBLUE CROSS BLUE SHIELD
451512819PEOOTHERALWESTERN LOCATION

General Provider Information

NPI Number : 1558310961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVETA PEOPLES DENTIST
Provider Business Mailing Address
First Line : 1700 AVENUE E
Second Line : WESTERN HEALTH CENTER
City : BIRMINGHAM
State : AL
Zip : 35218-1543
Country : US
Telephone Number : 205-241-5277
Fax Number :
Provider Business Practice Location Address
First Line : 1700 AVENUE E
Second Line : WESTERN HEALTH CENTER
City : BIRMINGHAM
State : AL
Zip : 35218-1543
Country : US
Telephone Number : 205-241-5277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 09/28/2007

Similar Medicare Providers

1053399543 — DR. MARY LARTEY BLANKSON M.D.
Practice Location Address:
1700 AVENUE E
BIRMINGHAM, AL
35218-1543
Practice Phone: 205-788-3321
Practice Fax: 205-241-5260
1508844184 — DR. JOE HARRY BLANKSON M.D.
Practice Location Address:
1700 AVENUE E
BIRMINGHAM, AL
35218-1543
Practice Phone: 205-788-3321
Practice Fax: 205-241-5260
1821051053 — DR. MARIA GOULAS MEYERS M.D.
Practice Location Address:
1700 AVENUE E
BIRMINGHAM, AL
35218-1543
Practice Phone: 205-788-3321
Practice Fax: 205-241-5260
1811951874 — DEBORAHA WILLONETTE HARRIS C.R.N.P
Practice Location Address:
1700 AVENUE E
BIRMINGHAM, AL
35218-1543
Practice Phone: 205-788-3321
Practice Fax: 205-241-5260
1245271071 — JEFFERSON HEALTH SYSTEM PHARMACY
Practice Location Address:
1700 AVENUE E ENSLEY
BIRMINGHAM, AL
35218-1543
Practice Phone: 205-241-5240
Practice Fax: 205-241-5299
1891956165 — DR. LAURA ANDERSON BURNS M.D.
Practice Location Address:
1700 AVENUE E
BIRMINGHAM, AL
35218-1543
Practice Phone: 205-788-3321
Practice Fax: 205-241-5260

Directions to “ DEVETA PEOPLES DENTIST” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.