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G.MICHAEL MAITRE DMD PA NPI 1306871405


NPI Information

NPI: 1306871405
Provider Name: G.MICHAEL MAITRE DMD PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
801 UNIVERSITY BLVD S # A
MOBILE, AL
ZIP 36609
Phone: (251) 344-4571
Get Directions

G.MICHAEL MAITRE DMD PA is a general practice dentist in Mobile, 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. G.MICHAEL MAITRE DMD PA NPI is 1306871405. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

801 UNIVERSITY BLVD S # A
MOBILE, AL
ZIP 36609-923
Phone: (251) 344-4571
Fax: (251) 344-2413

The provider's authorized official is George Michael Maitre .
The authorized official title is President and has the following contact phone number (251) 344-4571.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/9/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5689ALABAMANo
21223G0001XDentistGeneral Practice4529ALABAMANo
31223G0001XDentistGeneral Practice5412ALABAMANo
41223G0001XDentistGeneral Practice2723ALABAMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1510-92383OTHERALABAMABLUE CROSS BLUE SHILED AL
2515-32488OTHERALABAMABLUE CROSS BLUE SHIELD AL
3510-94272OTHERALABAMABLUE CROSS BLUE SHIELD AL

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: 5/5/2024

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