Mobile Premier Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4141 Issued in AL

Legal business name

MOBILE PREMIER PEDIATRIC DENTISTRY, LLC

Practice address

3920 Airport Blvd
Ste B
Mobile, AL 36608-2207

Phone

(251) 342-3323

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By 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

Mr. John Charles Williams

Title

Business Manager

Phone

(251) 342-3323

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maureen T. Baldy, DMD Other name

Locations

Practitioners 1

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.

• Maureen T Baldy, DMD

  • Pediatric Dentistry
  • Mobile, AL
  • NPI 1295863413
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881608750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 AIRPORT BLVD",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082207",
            "telephone_number": "251-342-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 AIRPORT BLVD",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082207",
            "telephone_number": "251-342-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PREMIER PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "251-342-3323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Maureen T. Baldy, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mobile Pediatric Clinic LLC
• Mobile Pediatric Dentistry
• Mobile Pharmacy Services LLC
• Mobile Physical Medicine & Wellness
• Mobile Pleasant Valley Dental P.C.
• Mobile Psychological, LLC
• Mobile Reproductive Endocrinology and Infertility
• Mobile SNF Opco LLC (Mobile Rehabilitation and Wellness Center)
• Mobile Spine & Rehabilitation Limited Partnership
• Mobile Spine and Rehabilitation Limited Partnership

• Pediatric Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.