Provider Demographics
NPI:1881868180
Name:KNOX, ANNE BLIGH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:BLIGH
Last Name:KNOX
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 1:2128 7TH AVE. S.
Mailing Address - Street 2:SOUTHSIDE FAMILY DENTISTRY
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-3106
Mailing Address - Country:US
Mailing Address - Phone:205-251-6928
Mailing Address - Fax:
Practice Address - Street 1:2128 7TH AVE. S.
Practice Address - Street 2:SOUTHSIDE FAMILY DENTISTRY
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3106
Practice Address - Country:US
Practice Address - Phone:205-251-6928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL55601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice