South Alabama Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH ALABAMA SMILES, LLC

Practice address

4732 Airport Blvd
Mobile, AL 36608-3134

Phone

(601) 201-3700

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Niketa Thompson, DMDNPI 1003337775

Title

General Dentist

Phone

(251) 304-9005

Specialties & licenses 1

Addresses

Practitioners 1

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

• Niketa Arlene Thompson, DMD

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1003337775
  NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1477164374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083134",
            "telephone_number": "601-201-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NIKETA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "251-304-9005",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• South Alabama Regional Planning Commission
• South Point Connection, LLC
• Southeast Joint Replacement, LLC
• Southeastern Surgical Specialist, P.C.
• Southern Behavioral Health LLC
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• General Practice Dentistry in Mobile, AL
• Providers in Mobile, 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 Sep 18, 2020; 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.