person
Dr. Martha Cochran Wallace, DMD
General Practice Dentistry in Birmingham, Alabama
NPI 1639172158

Martha Cochran Wallace is a General Practice Dentistry based in Birmingham, AL and is specialized in General Practice. Martha Cochran Wallace practices in Birmingham, AL and has the professional credentials of DMD. The NPI Number for Martha Cochran Wallace is 1639172158 and holds a License No. 3030 (Alabama).

The current practice location address for Martha Cochran Wallace is 1400 6Th Ave S, Birmingham, AL and can be reached out via phone at 205-930-1015 and via fax at 205-930-1448. You can also correspond with Martha Cochran Wallace through the mailing address at 1400 6TH AVE S, BIRMINGHAM, AL - 35233-1502 (mailing address contact number: 205-930-1015).

Location: 1400 6Th Ave S, Birmingham, AL, 35233-1502
person
Provider Profile Details
NPI Number
1639172158
Provider Name
Martha Cochran Wallace
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1400 6Th Ave S, Birmingham, AL, 35233-1502
Phone Number
205-930-1015
Fax Number
205-930-1448
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103678 05 AL
103676 05 AL
1639172158 05 AL
103546 05 AL
510-40457 01 AL BLUE CROSS BLUE SHIELD
510-40458 01 AL BLUE CROSS BLUE SHIELD
510-40459 01 AL BLUE CROSS BLUE SHIELD
103578 05 AL
510-40460 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1400 6Th Ave S
City
State
Zip
35233-1502
Phone Number
205-930-1015
Fax Number
205-930-1448
person
Provider Business Mailing Address Details
Address
1400 6Th Ave S
City
State
Zip
35233-1502
Phone Number
205-930-1015
Fax Number
205-930-1448
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3030 (Alabama)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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