Provider Demographics
NPI:1952834996
Name:SMILES OF ALABAMA
Entity Type:Organization
Organization Name:SMILES OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-852-1579
Mailing Address - Street 1:5590 CHALKVILLE RD
Mailing Address - Street 2:STE C
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-8636
Mailing Address - Country:US
Mailing Address - Phone:205-852-1579
Mailing Address - Fax:205-278-4499
Practice Address - Street 1:5590 CHALKVILLE RD
Practice Address - Street 2:STE C
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8636
Practice Address - Country:US
Practice Address - Phone:205-852-1579
Practice Address - Fax:205-278-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5363122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty