Provider Demographics
NPI:1710372289
Name:NORRIS ORTHODONTICS LLC
Entity Type:Organization
Organization Name:NORRIS ORTHODONTICS LLC
Other - Org Name:NORRIS ORTHODONTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:205-978-1500
Mailing Address - Street 1:701 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1847
Mailing Address - Country:US
Mailing Address - Phone:205-978-1500
Mailing Address - Fax:205-978-8855
Practice Address - Street 1:701 MONTGOMERY HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1847
Practice Address - Country:US
Practice Address - Phone:205-978-1500
Practice Address - Fax:205-978-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL58471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty