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BAY AREA ORAL SURGERY PC NPI 1063457919


NPI Information

NPI: 1063457919
Provider Name: BAY AREA ORAL SURGERY PC

Former Legal Business Name: ZIEMAN PFEFFLE & SHEPPARD DMD PC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5901 GRELOT RD
BUILDING C
MOBILE, AL
ZIP 36609
Phone: (251) 344-6191
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BAY AREA ORAL SURGERY PC is a specialist in Mobile, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BAY AREA ORAL SURGERY PC NPI is 1063457919. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Zieman Pfeffle & Sheppard Dmd Pc.

The provider's business location address is:

5901 GRELOT RD
BUILDING C
MOBILE, AL
ZIP 36609-603
Phone: (251) 344-6191
Fax: (251) 344-6794

The provider's authorized official is Jeanne Marzullo .
The authorized official title is Office Manager and has the following contact phone number (251) 344-6191.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4598ALABAMANo
2174400000XSpecialist5437ALABAMANo
3174400000XSpecialist3814ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000090524OTHERALABAMABCBS OF AL
2257083MEDICAIDALABAMA
31021853899OTHERALABAMAMEDICARE PTAN SHEPPARD
4000005454OTHERALABAMABCBS
50000094869OTHERALABAMABCBS OF AL
60000032729OTHERALABAMABCBS OF AL
7165624MEDICAIDALABAMA
8167941MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.