Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL ROSS PROVENZANO, DDS
ActiveCARL ROSS PROVENZANO, DDS is a General Dentistry healthcare provider located in BIRMINGHAM, Alabama. NPI 1548895543 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BIRMINGHAM, AL
Registration Details
- NPI Number
- 1548895543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2020 (6.3987080800979 yrs)
- Last Updated
- Aug 25, 2025
- Licenses
-
41386 (TX)D12166 (OR)DS045261 (PA)12799 (TN)D-6826-C1 (AL)
Practice Information
- Address
-
625 19TH ST SBIRMINGHAM, AL, 352331900Browse AL providers · Browse ZIP 35233
- Phone
- 2059344507
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
- Additional Specialty
- Oral & Maxillofacial Surgery
Other General Dentistry Providers in BIRMINGHAM, AL
| Name | Credential | NPI |
|---|---|---|
| DR. HARRELL SCOTT RUSSELL | D.M.D. | 1770586760 |
| DR. MARTHA COCHRAN WALLACE | D.M.D. | 1639172158 |
| DR. TERI DIANNE CHAFIN | D.M.D., M.P.H. | 1114925625 |
| DR. CALVIN COMER STARLIN JR. | DMD | 1144292434 |
| MISTI BATY | DENTIST | 1417906421 |
| DEVETA PEOPLES | DENTIST | 1558310961 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.