OrganizationActive
1917 Dental Clinic
NPI 1093452633 · Dentist · Birmingham, AL
Provider details
- NPI number
- 1093452633
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- University of Alabama at Birmingham
- Authorized official
- Jacquiselyn Story, Business Office Director
Practice location
3220 5th Ave S # 2022
Birmingham, AL 35222-2309
Phone: (205) 975-9842
Mailing address
3220 5th Ave S # 2022
Birmingham, AL 35222-2309
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 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.