NPI 1265970487

Paul Gaston Petznick DMD Fagd LLC

Organisation Dental Clinic/Center Homewood, AL

Practice location

Address: 2045 Brookwood Medical Ctr Dr Suite 6, Homewood, AL 35209-6874
Phone: (205) 326-7444
Fax: (205) 637-1933
Mailing address: PO Box 530652, Birmingham, AL 35253-0652

Authorised official

Name: Paul Gaston Petznick
Title: Dentist
Phone: (205) 326-7444

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 4316 (AL)

Other Clinic/Center providers in Alabama →

Registry record

NPI: 1265970487
Entity type: Organization
NPI issued: 8 Feb 2017
Record last updated: 8 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.