MEDICARE: JESSIE CHU DMD LLC

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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1841148541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSIE CHU DMD LLC

Provider Business Mailing Address
First Line	:	612 RED LANE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215-8236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	612 RED LANE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215-8236
Country	:	US
Telephone Number	:	205-873-1295
Fax Number	:

Authorized Official
Title or Position	:	DENTISTS
Name	:	DR. JESSIE CHU
Credential	:	DMD
Telephone Number	:	205-873-1295

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “JESSIE CHU DMD LLC ” Practice Location

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