Mobile Bay Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5226 Issued in AL

Legal business name

MOBILE BAY DENTAL, LLC

Practice address

1651 Schillinger Rd N
Semmes, AL 36575-7409

Phone

(251) 706-7960

NPI assigned

Aug 5, 2014

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lance Hankinson, DMD

Title

Owner

Phone

(251) 706-7960

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mobile Bay Dental & Vision Other name

Tax ID family

Mobile Bay Dental LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mobile Bay Dental LLC

  • Dentist
  • Mobile, AL
  • NPI 1922193002
  NPD tax ID
• Mobile Bay Dental, LLC

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1700254323
  NPD tax ID

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1255740122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 SCHILLINGER RD N",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365757409",
            "telephone_number": "251-706-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 SCHILLINGER RD N",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365757409",
            "telephone_number": "251-706-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE BAY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "HANKINSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-706-7960",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5226",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-779-TA-178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10161482",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Bay Dental & Vision",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Portia Shantez Maye
• Rondal Case McClanahan, RPH
• Sandra McCord, PA-C
• Baleana Watts McGilberry, RDN, LDN, CDCES
• James Lucas McKay, DDS
• Mobile Bay Vision, LLC
• Mobile County Board of Health (Semmes Clinic)
• Mobile County Emergency Medical Services Systems Inc. (Mobile County EMS)
• Tanika Michelle Montgomery, LMFT
• Brittany Moore, MS, OTR/L

• General Practice Dentistry in Semmes, AL
• Providers in Semmes, 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 Dec 8, 2016; 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.