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1917 DENTAL CLINIC
NPI 1093452633
Dentist in Birmingham, AL

Active since May 16, 2022
3220 5TH AVE S # 2022, BIRMINGHAM, AL 35222(205) 975-9842 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1917 Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1917 DENTAL CLINIC (NPI 1093452633) is a healthcare organization registered as a dentist in Birmingham, Alabama and active in the NPI registry since May 2022. The organization lists Jacquiselyn Story, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1093452633
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business Name1917 DENTAL CLINIC
Location Address3220 5TH AVE S # 2022Birmingham, AL 35222-2309
Mailing Address3220 5th Ave S # 2022Birmingham, AL 35222-2309 · (205) 975-9842
Phone(205) 975-9842
Organization SubpartYesParent: University Of Alabama At Birmingham
Authorized OfficialJacquiselyn StoryBusiness Office Director · (205) 934-5088
Enumeration DateMay 16, 2022
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1093452633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3220 5TH AVE S # 2022, Birmingham, AL 35222
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VINITA PANKAJ VED BDS, MDS
Dentist (Prosthodontics)
3220 5TH AVE S # 2022
BIRMINGHAM, AL 35222
Jefferson County (205) 975-9842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1917 Dental Clinic's NPI number?

The NPI number for 1917 Dental Clinic is 1093452633. It was assigned to this organization in the NPPES registry on May 16, 2022.

Where is 1917 Dental Clinic located?

1917 Dental Clinic is located at 3220 5th Ave S # 2022, Birmingham, AL 35222. The listed phone number is (205) 975-9842.

What is 1917 Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for 1917 Dental Clinic was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.