Search › Alabama › 1223G0001X
Carl Provenzano, DDS
NPI 1548895543 · on the registry since 2020
Practice
- Address
- 625 19th St S
Birmingham, AL 35233 - Phone
- (205) 934-4507
- Clinicians at this address
- 1,154
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
1223G0001X
1223G0001X
1223G0001X
1223S0112X
390200000X - Licence states on file
- TX, OR, PA, TN, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama