South Mobile Family Dental Center is a dental clinic (Clinic/center - Dental) in Bayou, La Batre, Alabama. The current practice location for South Mobile Family Dental Center is 13040 S. Wintzell Avenue, Bayou, La Batre, Alabama. For appointments, you can reach them via phone at
(251) 432-4117. The mailing address for South Mobile Family Dental Center is 1303 Dr Martin L King Jr Ave, Mobile, Alabama and phone number is (251) 432-4117.
South Mobile Family Dental Center is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1619429248. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(251) 432-4117.
Dental Care Clinic Profile
| Full Name | South Mobile Family Dental Center |
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| Speciality | Clinic/center - Dental |
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| Location | 13040 S. Wintzell Avenue, Bayou, La Batre, Alabama |
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| Authorized Official Name and Position | Charles N/a White (CEO) |
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| Authorized Official Contact | 2514324117 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
South Mobile Family Dental Center
1303 Dr Martin L King Jr Ave
Mobile
AL 36603-5341
Ph: (251) 432-4117 | South Mobile Family Dental Center
13040 S. Wintzell Avenue
Bayou, La Batre
AL 36509-2110
Ph: (251) 432-4117 |
NPI Details:
| NPI Number | 1619429248 |
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| Provider Enumeration Date | 10/31/2016 |
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| Last Update Date | 08/30/2022 |
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Medical Identifiers
Medical identifiers for South Mobile Family Dental Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619429248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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