| Mobile Pediatric Dentistry | |
|
1105 Hillcrest Rd Ste B Mobile AL 36695-3921 | |
| (251) 634-3835 | |
| (251) 634-3837 |
| Full Name | Mobile Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1105 Hillcrest Rd Ste B, Mobile, Alabama |
| Authorized Official Name and Position | Stephen E. Greenleaf (DENTIST/OWNER) |
| Authorized Official Contact | 2516343835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Pediatric Dentistry 1105 Hillcrest Rd Ste B Mobile AL 36695-3921 Ph: (251) 634-3835 | Mobile Pediatric Dentistry 1105 Hillcrest Rd Ste B Mobile AL 36695-3921 Ph: (251) 634-3835 |
| NPI Number | 1447681861 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447681861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5075 (Alabama) | Primary |
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