Provider Demographics
NPI:1043347701
Name:ENDODONTIC ASSOCIATES P.C.
Entity Type:Organization
Organization Name:ENDODONTIC ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BROWN
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:KIMBELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-995-8200
Mailing Address - Street 1:4518 VALLEYDALE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4658
Mailing Address - Country:US
Mailing Address - Phone:205-995-8200
Mailing Address - Fax:205-980-9387
Practice Address - Street 1:4518 VALLEYDALE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4658
Practice Address - Country:US
Practice Address - Phone:205-995-8200
Practice Address - Fax:205-980-9387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42341223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty