| Mobile Bay Dental & Vision | |
|
1651 Schillinger Rd N Semmes AL 36575-7409 | |
| (251) 706-7960 | |
| Not Available |
| Full Name | Mobile Bay Dental & Vision |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1651 Schillinger Rd N, Semmes, Alabama |
| Authorized Official Name and Position | Lance Hankinson (OWNER) |
| Authorized Official Contact | 2517067960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Bay Dental & Vision 1651 Schillinger Rd N Semmes AL 36575-7409 Ph: (251) 706-7960 | Mobile Bay Dental & Vision 1651 Schillinger Rd N Semmes AL 36575-7409 Ph: (251) 706-7960 |
| NPI Number | 1255740122 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255740122 | NPI | - | NPPES |
| 10161482 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5226 (Alabama) | Primary |
| 152W00000X | Optometrist | S-779-TA-178 (Alabama) | Secondary |
Robert Bruce King Dmd , Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8000 Moffat Rd., Semmes, AL 36575 Phone: 251-649-7050 | |
Gregory Gast Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1651 Schillinger Rd N, Semmes, AL 36575 Phone: 251-586-5909 |