Provider Demographics
NPI:1235107046
Name:SZYMELA, VICTOR FRANCIS (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:FRANCIS
Last Name:SZYMELA
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 HIGHLAND LAKES CV
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6822
Mailing Address - Country:US
Mailing Address - Phone:205-613-5147
Mailing Address - Fax:
Practice Address - Street 1:617 HIGHLAND LAKES CV
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6822
Practice Address - Country:US
Practice Address - Phone:205-613-5147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC95791223G0001X
AL34601223S0112X
ALD34601223S0112X
AL10355207PE0004X
SC100561223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009944535Medicaid
AL051520008OtherBLUE CROSS
AL610861200OtherDEPT OF LABOR
AL009944515Medicaid
AL009944525Medicaid
AL051523112OtherBLUE CROSS
ALC141OtherBCBS
ALCK8418OtherRR MEDICARE
AL051523113OtherBLUE CROSS
AL351890800OtherDEPT OF LABOR
ALCH5239OtherRR MEDICARE
AL051514446OtherBLUE CROSS
AL529905830Medicaid
AL529910000Medicaid
ALC144OtherBCBS
AL604336100OtherDEPT OF LABOR
AL051553268Medicaid
AL051514446OtherBLUE CROSS
AL529905830Medicaid
AL009944525Medicaid
ALCH5239OtherRR MEDICARE