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METHODIST HOME FOR THE AGING NPI 1932650769


NPI Information

NPI: 1932650769
Provider Name: METHODIST HOME FOR THE AGING

Doing Business As: FAIR HAVEN ORAL HEALTH CENTER

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1424 MONTCLAIR RD
IRONDALE, AL
ZIP 35210
Phone: (205) 951-1473
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METHODIST HOME FOR THE AGING is a dental clinic center in Irondale, AL. METHODIST HOME FOR THE AGING NPI is 1932650769. The provider is registered as an organization entity type.
The provider Is Doing Business As Fair Haven Oral Health Center.

The provider's business location address is:

1424 MONTCLAIR RD
IRONDALE, AL
ZIP 35210-208
Phone: (205) 951-1473

The provider's authorized official is Lillian M. Mitchell .
The authorized official title is Dental Director and has the following contact phone number (205) 951-1473.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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