Provider Demographics
NPI:1841531027
Name:LAW, MARY MARGARET (DMD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:MARGARET
Last Name:LAW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MAGGIE
Other - Middle Name:LAW
Other - Last Name:BOOHAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1910 28TH AVE S # 100
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2604
Mailing Address - Country:US
Mailing Address - Phone:205-855-5111
Mailing Address - Fax:
Practice Address - Street 1:1910 28TH AVE S # 100
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-855-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5999 C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist