Provider Demographics
NPI:1497191589
Name:MEREDITH TUBBS ROHLING DMD PC
Entity Type:Organization
Organization Name:MEREDITH TUBBS ROHLING DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:TUBBS
Authorized Official - Last Name:ROHLING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-508-3403
Mailing Address - Street 1:4701 MISTY RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-8688
Mailing Address - Country:US
Mailing Address - Phone:205-508-3403
Mailing Address - Fax:205-508-3406
Practice Address - Street 1:4701 MISTY RIDGE CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8688
Practice Address - Country:US
Practice Address - Phone:205-508-3403
Practice Address - Fax:205-508-3406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty