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DR. BOBBY FERRIS SHUNNARAH DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1710005343

Individual Registrant:
DR. BOBBY FERRIS SHUNNARAH DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
711 WADSWORTH ST  MONTEVALLO, AL 35115-3531 US
Tel: 205-665-2224  Fax: 205-665-2245

Contact information for business:
711 WADSWORTH ST  MONTEVALLO, AL 35115-3531 US
Tel: 205-665-2224  Fax: 205-665-2245

Registration Information:
NPI: 1710005343
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AL5201

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UNITED CONCORDIA1506784AL01
BLUE CROSS BLUE SHIELD515-15614AL01




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