1972136794 NPI number — DR. FALEH ALI ALSHANHRANI DDS

Table of content: DR. FALEH ALI ALSHANHRANI DDS (NPI 1972136794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972136794 NPI number — DR. FALEH ALI ALSHANHRANI DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALSHANHRANI
Provider First Name:
FALEH
Provider Middle Name:
ALI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972136794
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SDB 419 1919 7TH AVENUE SOUTH
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35294
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-934-4345
Provider Business Mailing Address Fax Number:
205-975-6671

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHILDREN'S OF ALABAMA
Provider Second Line Business Practice Location Address:
1600 7TH AVE SOUTH
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-638-6352
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)