OrganizationActive
Dominique Backus LLC
NPI 1093816837 · Orthodontics and Dentofacial Orthopedics Dentistry · Birmingham, AL
Provider details
- NPI number
- 1093816837
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dominique Backus, Orthodontist(205) 879-0557
- License
- 5065 (AL)
Specialties & taxonomies
Dental Providers
Practice location
3507 Old Montgomery Hwy
Birmingham, AL 35209
Phone: (205) 879-0557
Fax: (205) 879-6611
Approximate (ZIP-level) locationGet directions
Mailing address
3507 Old Montgomery Hwy
Birmingham, AL 35209
Other names (DBA / former)
- Doing business as
- Orthodontic Associates PA
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.