Bay Area Oral Surgery Pc in Mobile - Specialist
Bay Area Oral Surgery Pc - NPI 1063457919
Bay Area Oral Surgery Pc is a Specialist in Mobile, Alabama. Bay Area Oral Surgery Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bay Area Oral Surgery Pc is 1063457919. The last update date is 2023-08-22.
Bay Area Oral Surgery Pc's current location address is 5901 Grelot Rd, Mobile, Alabama. You can contact this provider via phone number 2513446191 and fax number 2513446794. The mailing address for Bay Area Oral Surgery Pc is 5901 Grelot Rd, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bay Area Oral Surgery Pc |
|---|---|
| Address | 5901 Grelot Rd, Mobile, Alabama |
| Phone Number | 2513446191 |
| Fax Number | 2513446794 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Marzullo Jeanne |
| Telephone Number | 2513446191 |
NPI Number Detail
| NPI Number | 1063457919 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
| Address | 5901 Grelot Rd |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366093603 |
| Phone Number | 2513446191 |
| Fax Number | 2513446794 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4598 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90524 | AL | BCBS OF AL | |
| 257083 | AL | -- | |
| 1021853899 | AL | MEDICARE PTAN SHEPPARD | |
| 5454 | AL | BCBS | |
| 94869 | AL | BCBS OF AL | |
| 32729 | AL | BCBS OF AL | |
| 165624 | AL | -- | |
| 167941 | AL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bay Area Oral Surgery Pc?
The Bay Area Oral Surgery Pc has been issued the NPI (National Provider Identifier) 1063457919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bay Area Oral Surgery Pc's facilities are situated?
The facilities of Bay Area Oral Surgery Pc are physically located at the following address: 5901 Grelot Rd, Mobile, AL, 366093603.
What is Bay Area Oral Surgery Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bay Area Oral Surgery Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063457919 to Bay Area Oral Surgery Pc?
The Centers for Medicare & Medicaid Services assigned the 1063457919 to Bay Area Oral Surgery Pc on 2006-06-17.
When was the information related to Bay Area Oral Surgery Pc most recently updated or refreshed?
The details pertaining to the Bay Area Oral Surgery Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN