Mobile Bay Dental Llc
LBN: Mobile Bay Dental Llc
Mobile Bay Dental Llc is an health care organization with primary practice located at 301 Saint Joseph St , Mobile AL 36602-4037. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Eye and Vision Services Providers / Optometrist. Dental Providers / Dentist is the primary health care specialty.
Mobile Bay Dental Llc can be contacted via phone (251) 433-7717, or through Hankinson, Lance Christopher via phone (251) 433-7717.
Contact Information
Primary practice address
301 Saint Joseph St
Mobile AL 36602-4037
Phone: (251) 433-7717
Fax: (251) 433-9384
Website:
Authorized official contact:
Name: Hankinson, Lance Christopher Doctor of Dental Medicine (DMD)
Phone: (251) 433-7717
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5226 | Alabama |
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-779-TA-178 | Alabama |
Profile Details
| NPI number | 1922193002 |
|---|---|
| LBN Legal business name | Mobile Bay Dental Llc |
| DBA Doing business as | |
| Authorized official | Hankinson, Lance Christopher Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 1st, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922193002 | NPPES |
| Alabama | MEDICAID | 529912860 | |
| Alabama | Other | 14048 |
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