Provider Demographics
NPI:1144292434
Name:STARLIN, CALVIN COMER JR (DMD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:COMER
Last Name:STARLIN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 MOUNTAIN TOP LOOP
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-6119
Mailing Address - Country:US
Mailing Address - Phone:205-338-6916
Mailing Address - Fax:
Practice Address - Street 1:5590 CHALKVILLE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8636
Practice Address - Country:US
Practice Address - Phone:205-853-3643
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL39751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice