Bayside Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAYSIDE DENTAL ASSOCIATES, PC

Practice address

2020 Rosedale Rd
Mobile, AL 36605-3167

Phone

(215) 476-6966

NPI assigned

May 4, 2018

Last updated

May 4, 2018By 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

Dr. Michael A Lartigue, DMDNPI 1699981613

Title

President

Phone

(251) 476-6966

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Andrew Lartigue, DMD

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1699981613
  NPD (past) Authorized official
• Fred Thomas Johnson, DMD

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1154537165
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1871082891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ROSEDALE RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053167",
            "telephone_number": "215-476-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ROSEDALE RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053167",
            "telephone_number": "215-476-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "LARTIGUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-476-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Podiatry, L.L.C.
• Bay Urology Services PC
• Bay Urology Services, P.C.
• Baycare Pharmacy, Inc
• Bayshore Alliance, Inc (Brightstarcare of Mobile E./Baldwin Co.)
• Bayside Medical Supply, LLC (Bayside Shoes for Life)
• Bayside Psychological Services LLC
• Bayside Sitters
• Bayview Wellness, LLC
• BC OBGYN LLC

• 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 4, 2018; 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.