| Cockrell Dental Office Llc | |
|
1040 Hillcrest Rd Mobile AL 36695 | |
| (251) 639-0110 | |
| (251) 634-1097 |
| Full Name | Cockrell Dental Office Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1040 Hillcrest Rd, Mobile, Alabama |
| Authorized Official Name and Position | Kevin M Cockrell (PARTNER) |
| Authorized Official Contact | 2516390110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cockrell Dental Office Llc 1040 Hillcrest Rd Mobile AL 36695 Ph: (251) 639-0110 | Cockrell Dental Office Llc 1040 Hillcrest Rd Mobile AL 36695 Ph: (251) 639-0110 |
| NPI Number | 1285710400 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285710400 | NPI | - | NPPES |
| 51090325 | Other | AL | BLUE CROSS BLUE SHIELD |
| 51091274 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4059 (Alabama) | Primary |
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