Provider Demographics
NPI:1619407657
Name:DENNY, PRISCILA ARRUDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:PRISCILA
Middle Name:ARRUDA
Last Name:DENNY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 OLD MONTGOMERY HWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1606
Mailing Address - Country:US
Mailing Address - Phone:205-682-7488
Mailing Address - Fax:205-682-7487
Practice Address - Street 1:2029 OLD MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-1606
Practice Address - Country:US
Practice Address - Phone:205-682-7488
Practice Address - Fax:205-682-7487
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL51081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1316032329OtherORGANIZATION NPI