Provider Demographics
NPI:1962995225
Name:PEOPLES, HARRY JACOBI II (DMD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JACOBI
Last Name:PEOPLES
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 WHITETAIL CV
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5158
Mailing Address - Country:US
Mailing Address - Phone:334-294-8939
Mailing Address - Fax:
Practice Address - Street 1:859 LOMB AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1257
Practice Address - Country:US
Practice Address - Phone:205-788-2124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL65111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice