OrganizationActive
1917 Dental Clinic
NPI 1093452633 · Dentist · Birmingham, AL
1917 Dental Clinic is a Dentist organization in Birmingham, AL (NPI 1093452633).
Provider details
- NPI number
- 1093452633
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- University of Alabama at Birmingham
- Organization subpart
- Yes
- Authorized official
- Jacquiselyn Story, Business Office Director(205) 934-5088
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3220 5th Ave S # 2022
Birmingham, AL 35222-2309
Phone: (205) 975-9842
Street-level locationGet directions
Mailing address
3220 5th Ave S # 2022
Birmingham, AL 35222-2309
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Frequently asked questions
- What is 1917 Dental Clinic's NPI number?
- 1917 Dental Clinic's National Provider Identifier (NPI) is 1093452633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1917 Dental Clinic?
- 1917 Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is 1917 Dental Clinic located?
- 1917 Dental Clinic's practice location on file with NPPES is 3220 5th Ave S # 2022, Birmingham, AL 35222-2309.
- What is 1917 Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for 1917 Dental Clinic is (205) 975-9842.
- Who is the authorized official for 1917 Dental Clinic?
- The authorized official listed on 1917 Dental Clinic's NPPES record is Jacquiselyn Story, Business Office Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1917 Dental Clinic's NPI active?
- Yes — 1917 Dental Clinic's NPI (1093452633) is active in the NPPES registry as of the last update on 2022-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.