Carl Ross Provenzano is a Birmingham, Alabama based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Carl Ross Provenzano is D-6826-C1 for General Practice Dentistry in Alabama. His current practice location is 625 19th St S, Birmingham. Patients can reach him at 205-934-4507.
Carl Ross Provenzano deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Carl Ross Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Carl Ross Provenzano
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
625 19th St S, Birmingham, Alabama, 35233-1900
Phone:
205-934-4507
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 are as mentioned below.
NPI Number:
1548895543
NPI Enumeration Date:
10 Mar, 2020
NPI Last Update On:
08 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carl Ross Provenzano are as mentioned below.
License Number
Specialization
State
Status
D-6826-C1
General Practice Dentistry
Alabama
Primary
D-6826-C1
Oral and Maxillofacial Surgery
Alabama
Secondary
Student in an Organized Health Care Education/Training Program
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
625 19th St S, Birmingham, Alabama
Zip:
35233-1900
Phone Number:
205-934-4507
Patients can reach Carl Ross Provenzano at 625 19th St S, Birmingham, Alabama or can call to book an appointment on 205-934-4507. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.