Provider Demographics
NPI:1144423336
Name:INVERNESS FAMILY DENTISTRY P.C.
Entity Type:Organization
Organization Name:INVERNESS FAMILY DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-991-8939
Mailing Address - Street 1:202 INVERNESS CENTER DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7633
Mailing Address - Country:US
Mailing Address - Phone:205-991-8939
Mailing Address - Fax:205-995-5028
Practice Address - Street 1:202 INVERNESS CENTER DR
Practice Address - Street 2:SUITE 301
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7633
Practice Address - Country:US
Practice Address - Phone:205-991-8939
Practice Address - Fax:205-995-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty