Provider Demographics
NPI:1013935980
Name:STEVENS, ALVIN WILLIS JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:WILLIS
Last Name:STEVENS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 CENTURY PARK S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3945
Mailing Address - Country:US
Mailing Address - Phone:205-822-3222
Mailing Address - Fax:205-822-3504
Practice Address - Street 1:400 CENTURY PARK S
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3945
Practice Address - Country:US
Practice Address - Phone:205-822-3222
Practice Address - Fax:205-822-3504
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29351223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics