Provider Demographics
NPI:1720753411
Name:OXMOOR VALLEY ORTHODONTICS II LLC
Entity Type:Organization
Organization Name:OXMOOR VALLEY ORTHODONTICS II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:SEMA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:205-942-2270
Mailing Address - Street 1:224 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4033
Mailing Address - Country:US
Mailing Address - Phone:205-337-5011
Mailing Address - Fax:
Practice Address - Street 1:415 W OXMOOR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6320
Practice Address - Country:US
Practice Address - Phone:205-942-2270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty