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MOBILE BAY DENTAL LLC NPI 1255740122


NPI Information

NPI: 1255740122
Provider Name: MOBILE BAY DENTAL, LLC

Other Name: MOBILE BAY DENTAL & VISION

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1651 SCHILLINGER RD N
SEMMES, AL
ZIP 36575
Phone: (251) 706-7960
Get Directions

MOBILE BAY DENTAL, LLC is a general practice dentist in Semmes, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MOBILE BAY DENTAL, LLC NPI is 1255740122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mobile Bay Dental & Vision.

The provider's business location address is:

1651 SCHILLINGER RD N
SEMMES, AL
ZIP 36575-409
Phone: (251) 706-7960

The provider's authorized official is Lance Hankinson .
The authorized official title is Owner and has the following contact phone number (251) 706-7960.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 12/8/2016.


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
11223G0001XDentistGeneral Practice5226ALABAMAYes
2152W00000XOptometristS-779-TA-178ALABAMANo

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
110161482MEDICAIDALABAMA

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

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