Mobile Dental Services of Alabama PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOBILE DENTAL SERVICES OF ALABAMA PC

Practice address

3231 Fieldstone Dr SW
Decatur, AL 35603-3173

Phone

(205) 568-4213

NPI assigned

Jun 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Penelope C Cline, DMD

Title

Owner

Phone

(773) 329-4450

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1245645084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "888-970-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 FIELDSTONE DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356033173",
            "telephone_number": "205-568-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL SERVICES OF ALABAMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-329-4450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mize, M.D.
• Kathryn S Mize, M.D.
• MMG, LLC
• MMG, LLC
• Kelly Dorr Moates, LMFT
• Nilay Modi, PHARMD
• Joseph Michael Molisani, DDS
• Michael Dennis Monaghan, CRNA
• Jason Mario Monge, DMD
• Chloe Taylor Monin, RBT

• General Practice Dentistry in Decatur, AL
• Providers in Decatur, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.