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NPI Code Detail

MEDICARE: LUNA AESTHETIC DENTISTRY

MEDICARE: LUNA AESTHETIC DENTISTRY
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 Dentistry4645AL

General Provider Information

NPI Number : 1972503522
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUNA AESTHETIC DENTISTRY
Provider Business Mailing Address
First Line : 2949 JOHN HAWKINS PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-1095
Country : US
Telephone Number : 205-988-9700
Fax Number : 205-988-4191
Provider Business Practice Location Address
First Line : 2949 JOHN HAWKINS PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-1095
Country : US
Telephone Number : 205-988-9700
Fax Number : 205-988-4191
Authorized Official
Title or Position : OWNER
Name : EDGAR ALAN LUNA
Credential : DMD
Telephone Number : 205-988-9700
Provider Enumeration Date : 07/26/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1962624577 — DR. EDGAR ALAN LUNA DMD
Practice Location Address:
5336 STADIUM TRACE PARKWAY , SUITE 102
BIRMINGHAM, AL
35244-1095
Practice Phone: 205-988-9700
Practice Fax: 205-988-4191
1013093566 — DR. JAMES H MARSHALL M.D.
Practice Location Address:
2949 JOHN HAWKINS PKWY
HOOVER, AL
35244-1095
Practice Phone: 205-987-0005
Practice Fax: 205-987-0065
1629328471 — DRAYER PHYSICAL THERAPY INSTITUTE LLC
Practice Location Address:
2949 JOHN HAWKINS PKWY
HOOVER, AL
35244-1095
Practice Phone: 205-396-1530
Practice Fax: 205-396-1535
1972944122 — BRYAN JOSEPH LADISLAS DPT
Practice Location Address:
2949 JOHN HAWKINS PKWY
HOOVER, AL
35244-1095
Practice Phone: 205-396-1530
Practice Fax: 205-396-1535
1073945531 — DRAYER PHYSICAL THERAPY-ALABAMA, LLC
Practice Location Address:
2949 JOHN HAWKINS PKWY
HOOVER, AL
35244-1095
Practice Phone: 205-396-1530
Practice Fax: 205-396-1535
1972916732 — LAURA J PATTON
Practice Location Address:
2949 JOHN HAWKINS PKWY
HOOVER, AL
35244-1095
Practice Phone: 205-396-1530
Practice Fax: 205-396-1535

Directions to “LUNA AESTHETIC DENTISTRY ” Practice Location

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