Provider Demographics
NPI:1720634769
Name:LESTER, ARLENE (DDS, MPH, FACD)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:LESTER
Suffix:
Gender:F
Credentials:DDS, MPH, FACD
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 S 19TH ST
Mailing Address - Street 2:DENTAL CLINIC
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 S 19TH ST
Practice Address - Street 2:DENTAL CLINIC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN103321223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health