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SUMMIT SMILES PEDIATRIC DENTISTRY LLC NPI 1629602529


NPI Information

NPI: 1629602529
Provider Name: SUMMIT SMILES PEDIATRIC DENTISTRY, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3106 JAMES MADISON DR E
MOBILE, AL
ZIP 36693
Phone: (251) 455-9787
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SUMMIT SMILES PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Mobile, AL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SUMMIT SMILES PEDIATRIC DENTISTRY, LLC NPI is 1629602529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3106 JAMES MADISON DR E
MOBILE, AL
ZIP 36693-060
Phone: (251) 455-9787

The provider's authorized official is Sean Claude Gunnels .
The authorized official title is Pediatric Dentist (pedodontist) and has the following contact phone number (251) 455-9787.

The enumeration date for this NPI number is 2/28/2020 and was last updated on 2/28/2020.


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
11223P0221XDentistPediatric DentistryYes

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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