Hubert H. Parker IV DMD PC

Organization Active NPI General Practice Dentistry · Mobile, AL

NPI 1104122779 · NPPES record last updated Jan 31, 2011

Key facts

NPI
1104122779
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4597 (AL)
Legal business name
HUBERT H. PARKER IV DMD PC
Practice address
505 Georgian Dr Ste B
Mobile, AL 36609-3432
Phone
(251) 342-2324
Fax
(251) 342-2405
NPI assigned
Jan 31, 2011
Organization subpart
No

Authorized official

Name
Mrs. Mandy Wallace
Title
Office Manager
Phone
(251) 342-2324

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Hubert H Parker IV DMD PC (4 organizations share this tax ID)

Locations

505 Georgian Dr
#B
Mobile, AL 36609
Phone (251) 342-2324

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 4597 AL Yes

Addresses

Primary practice location

505 Georgian Dr Ste B
Mobile, AL 36609-3432

Mailing address

505 Georgian Dr Ste B
Mobile, AL 36609-3432
Phone (251) 342-2324

Other providers in Mobile, AL

All providers in Mobile, AL · General Practice Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.