Provider Demographics
NPI:1992320493
Name:ANNAMARIE M. DICHIARA DMD PC
Entity type:Organization
Organization Name:ANNAMARIE M. DICHIARA DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNAMARIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DICHIARA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-733-8300
Mailing Address - Street 1:500 EMERY DR W
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4531
Mailing Address - Country:US
Mailing Address - Phone:205-733-8300
Mailing Address - Fax:205-733-1400
Practice Address - Street 1:500 EMERY DR W
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4531
Practice Address - Country:US
Practice Address - Phone:205-733-8300
Practice Address - Fax:205-733-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental