Fred Hestle Clausell Jr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3323 Issued in AL

Practice address

451 S Broad St
Mobile, AL 36603-1121

Phone

(251) 432-3322

Fax

(251) 438-9454

NPI assigned

Nov 1, 2006

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fred H. Clausell, Jr., D.M.D., P.C.

  • Dentist
  • Mobile, AL
  • NPI 1457684342
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1679650832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031121",
            "telephone_number": "251-432-3322",
            "fax_number": "251-438-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031121",
            "telephone_number": "251-432-3322",
            "fax_number": "251-438-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSELL",
        "first_name": "FRED",
        "middle_name": "HESTLE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Wilson Clarke, CRNP
• Mecquicael Clarke, CRNP
• Ronald W Clarke, MD
• David R Clarkson, M.D.
• Cameron Taylor Clary
• Terry Bradly Clay, M.D.
• Adrienne Clayton, APRN
• Brandi Robbins Clayton, NP-C
• Stanley Alan Clayton, FNP
• Clearly Speaking, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.