COMPLETE DENTAL OF MOBILE NPI 1790066728

NPI Information

NPI: 1790066728
Provider Name: COMPLETE DENTAL OF MOBILE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5651 THREE NOTCH RD
MOBILE, AL
ZIP 36619
Phone: (251) 661-1003
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COMPLETE DENTAL OF MOBILE is a dental clinic center in Mobile, AL. COMPLETE DENTAL OF MOBILE NPI is 1790066728. The provider is registered as an organization entity type.

The provider's business location address is:

5651 THREE NOTCH RD
MOBILE, AL
ZIP 36619-617
Phone: (251) 661-1003
Fax: (251) 661-2709

The provider's authorized official is Shaun Gary Small .
The authorized official title is Owner and has the following contact phone number (251) 661-1003.

The enumeration date for this NPI number is 9/3/2011 and was last updated on 12/6/2011.

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
1	261QD0000X	Clinic/Center	Dental	5565	ALABAMA	Yes

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

NPI Synchronization or Removal

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