Provider Demographics
NPI:1295908648
Name:DOOBROW, JENNIFER HIRSCH (DMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HIRSCH
Last Name:DOOBROW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:HELENE
Other - Last Name:HIRSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:212 4TH AVE SE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-3673
Mailing Address - Country:US
Mailing Address - Phone:256-734-8588
Mailing Address - Fax:256-739-6764
Practice Address - Street 1:212 4TH AVE SE
Practice Address - Street 2:SUITE 500
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-3673
Practice Address - Country:US
Practice Address - Phone:256-734-8588
Practice Address - Fax:256-739-6764
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL55781223G0001X
SC43111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice