Provider Demographics
NPI:1437833134
Name:CASS KLIMCAK D.M.D., PC
Entity Type:Organization
Organization Name:CASS KLIMCAK D.M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CASS
Authorized Official - Middle Name:FIKE
Authorized Official - Last Name:KLIMCAK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-981-9449
Mailing Address - Street 1:1000 EAGLE PT CORP DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6996
Mailing Address - Country:US
Mailing Address - Phone:205-981-9449
Mailing Address - Fax:205-981-9062
Practice Address - Street 1:1000 EAGLE PT CORP DR STE 2
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6996
Practice Address - Country:US
Practice Address - Phone:205-981-9449
Practice Address - Fax:205-981-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental