| Complete Dental Of Mobile | |
|
5651 Three Notch Rd Mobile AL 36619-1617 | |
| (251) 661-1003 | |
| (251) 661-2709 |
| Full Name | Complete Dental Of Mobile |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5651 Three Notch Rd, Mobile, Alabama |
| Authorized Official Name and Position | Shaun Gary Small (OWNER) |
| Authorized Official Contact | 2516611003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Dental Of Mobile 5651 Three Notch Rd Mobile AL 36619-1617 Ph: (251) 661-1003 | Complete Dental Of Mobile 5651 Three Notch Rd Mobile AL 36619-1617 Ph: (251) 661-1003 |
| NPI Number | 1790066728 |
|---|---|
| Provider Enumeration Date | 09/03/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790066728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5565 (Alabama) | Primary |
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