Bayshore Smiles

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BAYSHORE SMILES

Practice address

1701 US Highway 98
Daphne, AL 36526-4279

Phone

(251) 213-2077

NPI assigned

Oct 31, 2024

Last updated

Nov 5, 2024By 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

Shelby Mancuso

Title

Ceo

Phone

(251) 213-2077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1649092479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3489",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365473489",
            "telephone_number": "251-213-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264279",
            "telephone_number": "251-213-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-213-2077"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Luther Barrett Jr., D.M.D.
• Leah G Barter, M.S.
• Lauren Cassanova Bauer, DPT
• Bay Area Clarity, LLC
• Bayfront Dental LLC
• Bayside Chiropractic, LLC
• Bayside Pediatrics, LLC
• Jeff Hixon Beard, M.D.
• Beauty Health & Style
• Katieanne Beitler

• Dentist in Daphne, AL
• Providers in Daphne, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.