Individual provider Active NPI

Robert Blankenship Maitre, DMD

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1891924015
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5689 Issued in AL
Practice address
6320 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone
(251) 343-1007
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5689 AL Primary

Addresses

Primary practice location

6320 Piccadilly Square Dr
Mobile, AL 36609-5143

Mailing address

6320 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone (251) 343-1007

Other practice location 1

801 S University Blvd # A
Mobile, AL 36609-2923
Phone (251) 344-4571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5689ALMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RB Maitre, DMD, PC CurrentSince Dec 7, 2025 Accepting new patients
Kenneth C. Lambert, Jr. D.M.D., P.C. General Practice PastSince Dec 7, 2025 Accepting new patients
G.Michael Maitre DMD PA General Practice Past Accepting new patients

Locations

6320 Piccadilly Square Dr
Mobile, AL 36609
Phone (251) 343-1007

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1891924015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-343-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-343-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S University Blvd # A",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366092923",
            "country_code": "US",
            "telephone_number": "251-344-4571",
            "fax_number": "251-344-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAITRE",
        "first_name": "ROBERT",
        "middle_name": "BLANKENSHIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.