MTPM, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5867 Issued in AL

Legal business name

MTPM, LLC

Practice address

301 Saint Joseph St
Mobile, AL 36602-4037

Phone

(251) 433-7717

Fax

(251) 433-9384

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Michael Gamotis, DMD

Title

Member

Phone

(251) 591-7669

Specialties & licenses 1

Addresses

Other names 1

• Mobile Bay Dental and Vision Doing business as

Locations

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1821475252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT JOSEPH ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366024037",
            "telephone_number": "251-433-7717",
            "fax_number": "251-433-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT JOSEPH ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366024037",
            "telephone_number": "251-433-7717",
            "fax_number": "251-433-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "GAMOTIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "251-591-7669",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Bay Dental and Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khristoffer Troy Moya
• Melvia Lakeia Moye, MA, LMFT
• Sage M Moye, MA, LPC
• David Moylan
• Stacey Mroczko
• Terri Casey Mudge, LPC
• Knut E Mueller, M.D.
• Luke Mueller
• William Noel Mueller II, HS1
• Ateeqa Mujeeb Ullah, MD

• 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 May 6, 2015; 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.