Provider Demographics
NPI:1588727416
Name:ENDODONTIC ASSOCIATES, P.C.
Entity type:Organization
Organization Name:ENDODONTIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATTON
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-836-6050
Mailing Address - Street 1:628 GADSDEN HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2565
Mailing Address - Country:US
Mailing Address - Phone:205-836-6050
Mailing Address - Fax:205-836-5275
Practice Address - Street 1:628 GADSDEN HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-2565
Practice Address - Country:US
Practice Address - Phone:205-836-6050
Practice Address - Fax:205-836-5275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty