Provider Demographics
NPI:1851665442
Name:DR. JOHN R. ORR III
Entity Type:Organization
Organization Name:DR. JOHN R. ORR III
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORR
Authorized Official - Suffix:III
Authorized Official - Credentials:DMDPC
Authorized Official - Phone:205-785-3179
Mailing Address - Street 1:316 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064-2222
Mailing Address - Country:US
Mailing Address - Phone:205-755-3179
Mailing Address - Fax:205-785-3257
Practice Address - Street 1:316 VALLEY RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064-2222
Practice Address - Country:US
Practice Address - Phone:205-755-3179
Practice Address - Fax:205-785-3257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL35331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty