Bivona Family Dental

NPI #1285988758 in Jasper, Alabama

Provider Information

NPI Number: 1285988758
Entity Type: Organization
Organization Name: Bivona Family Dental
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 1206 HIGHWAY 78 E
City: Jasper
State: Alabama
ZIP Code: 35501-3939
Phone: (205) 387-8888

Authorized Official

Name: DR. MICHAEL JACOB BIVONA, DMD
Title: DENTIST
Phone: (205) 387-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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