DR. JERRY W REASNER (NPI# 1700960077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700960077 |
| Entity Type | Individual |
| Full Name | DR. JERRY W REASNER |
| Credential | DMD |
| Practice Address |
924 Montclair Road Suite 101 Birmingham AL 35213 |
| Practice Telephone | 2055952626 |
| Practice Fax Number | 2055929241 |
| Mailing Telephone | 2055952626 |
| Mailing Fax Number | 2055929241 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
4009 | AL | Dental Providers |
| Street Address |
924 MONTCLAIR ROAD SUITE 101 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211800 | Jerry W. Reasner, Dmd | Dentist | 924 Montclair Road, Suite 101, Birmingham, AL 35213 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986533 | Ramakiran Venkata Chavali | Dentist | 127 Cahaba River Parc, Birmingham, AL 35243-3250 | 2012-01-30 |
| 1679602189 | Yung-tsung Hsu | Dentist | 1919 7th Ave S Rm 534, Birmingham, AL 35294-0001 | 2007-03-02 |
| 1508901414 | Luis Fernando Cabrera | Dentist | 3265 Cahaba Heights Rd, Birmingham, AL 35243 | 2007-02-20 |
| 1114092442 | Perng-ru Liu | Dentist | 2501 Crossgate Pl, Birmingham, AL 35216-3116 | 2006-11-21 |
| 1245303593 | Sandra Jean Oneal | Dentist | 1919 7th Ave South Sdb Box 538, Birmingham, AL 35294-0001 | 2006-11-16 |
| 1851301733 | Bradley Perry Vickers | Dentist | 700 South 19th St, Va Medical Center, Dental Service 160, Birmingham, AL 35233 | 2006-08-09 |
| 1497396303 | Stephen Liu | Dentist | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2019-10-01 |
| 1881126910 | Celin Arce | Dentist | 1919 7th Ave S, Uab Dental Group, Birmingham, AL 35233-2005 | 2017-03-29 |
| 1811243140 | Michael Thomas Kase | Dentist | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2012-07-24 |
| 1891027488 | John B Oettinger | Dentist | 1919 7th Ave S, Sdb 418, Birmingham, AL 35233-2005 | 2010-02-05 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.