| Summit Smiles Pediatric Dentistry, Llc | |
|
3106 James Madison Dr E Mobile AL 36693-4060 | |
| (251) 455-9787 | |
| Not Available |
| Full Name | Summit Smiles Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3106 James Madison Dr E, Mobile, Alabama |
| Authorized Official Name and Position | Sean Claude Gunnels (PEDIATRIC DENTIST (PEDODONTIST)) |
| Authorized Official Contact | 2514559787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Smiles Pediatric Dentistry, Llc 3106 James Madison Dr E Mobile AL 36693-4060 Ph: (251) 455-9787 | Summit Smiles Pediatric Dentistry, Llc 3106 James Madison Dr E Mobile AL 36693-4060 Ph: (251) 455-9787 |
| NPI Number | 1629602529 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629602529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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