Bay Pediatric & Adolescent Dentistry in Fairhope - Pediatric Dentistry

Bay Pediatric & Adolescent Dentistry - NPI 1609848308

Bay Pediatric & Adolescent Dentistry is a Pediatric Dentistry in Fairhope, Alabama. Bay Pediatric & Adolescent Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bay Pediatric & Adolescent Dentistry is 1609848308. The last update date is 2013-02-19.

Bay Pediatric & Adolescent Dentistry's current location address is 115 Lottie Ln, Fairhope, Alabama. You can contact this provider via phone number 2519285045 and fax number 2519293335. The mailing address for Bay Pediatric & Adolescent Dentistry is 115 Lottie Ln, Fairhope, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bay Pediatric & Adolescent Dentistry
Address 115 Lottie Ln, Fairhope, Alabama
Phone Number 2519285045
Fax Number 2519293335
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hammock Wells William
Credentials DMD
Telephone Number 2519285045

NPI Number Detail

NPI Number 1609848308
Provider Enumeration Date 2006-02-06
Last Updated Date 2013-02-19

Provider Mailing Address Detail

Address 115 Lottie Ln
City Fairhope
State Alabama (AL)
Post Code 365322995
Phone Number 2519285045
Fax Number 2519293335

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
529923190 AL --

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FAQs about Bay Pediatric & Adolescent Dentistry

What is the Bay Pediatric & Adolescent Dentistry's 1609848308?

The Bay Pediatric & Adolescent Dentistry's NPI (National Provider Identifier) Number is 1609848308. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Bay Pediatric & Adolescent Dentistry?

The Bay Pediatric & Adolescent Dentistry is physically situated at 115 Lottie Ln, in the city of Fairhope, state of AL, with the postal code 365322995.

What is Bay Pediatric & Adolescent Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bay Pediatric & Adolescent Dentistry is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

When was the Bay Pediatric & Adolescent Dentistry's 1609848308 issued?

The Bay Pediatric & Adolescent Dentistry's 1609848308 was issued on 2006-02-06.

As of what date were the details related to Bay Pediatric & Adolescent Dentistry most recently updated or revised?

The information pertaining to Bay Pediatric & Adolescent Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-19.

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