is a Orthodontics and Dentofacial Clinic in Birmingham, Alabama. It is located at 3507 Old Montgomery Hwy, Birmingham, AL and its contact number is 205-879-0557. The authorized person for is Dr. Dominique Vidrine Backus
who is Orthodontist of the clinic and their contact number is 205-879-0557. The primary license number for is 5065 (Orthodontics and Dentofacial Orthopedics) in Alabama. Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
3507 Old Montgomery Hwy, Birmingham, Alabama, 35209
Phone:
205-879-0557
Fax:
205-879-6611
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Dominique Vidrine Backus
Position:
Orthodontist
Contact Number:
205-879-0557
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1093816837
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
5065
Alabama
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3507 Old Montgomery Hwy, Birmingham, Alabama
Zip:
35209
Phone Number:
205-879-0557
Fax Number:
205-879-6611
Patients can reach at 3507 Old Montgomery Hwy, Birmingham, Alabama or can call to book an appointment on 205-879-0557. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.