Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1917 Dental Clinic

Organization Dentist · NPI 1093452633

1917 Dental Clinic is a Dentist in Birmingham, Alabama. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3220 5th Ave S # 2022
Birmingham, AL 35222-2309
Phone: (205) 975-9842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1093452633
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUniversity of Alabama at Birmingham
Authorized official Jacquiselyn Story — Business Office Director · (205) 934-5088
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address3220 5th Ave S # 2022, Birmingham, AL 35222-2309

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