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Bay Area Oral Surgery Pc
Specialist in Mobile, Alabama
NPI 1063457919

Bay Area Oral Surgery Pc is a Specialist based in Mobile, AL. Bay Area Oral Surgery Pc practices in Mobile, AL. The NPI Number for Bay Area Oral Surgery Pc is 1063457919 and holds a License No. 3814 (Alabama).

The current practice location address for Bay Area Oral Surgery Pc is 5901 Grelot Rd, Mobile, AL and can be reached out via phone at 251-344-6191 and via fax at 251-344-6794.

Location: 5901 Grelot Rd, Mobile, AL, 36609-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063457919
Provider Name
Bay Area Oral Surgery Pc
Credential
Provider Entity Type
Organization
Address
5901 Grelot Rd, Mobile, AL, 36609-3603
Phone Number
251-344-6191
Fax Number
251-344-6794
Provider Enumeration Date
06/17/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000090524 01 AL BCBS OF AL
257083 05 AL
1021853899 01 AL MEDICARE PTAN SHEPPARD
000005454 01 AL BCBS
0000094869 01 AL BCBS OF AL
0000032729 01 AL BCBS OF AL
165624 05 AL
167941 05 AL
institution
Provider Business Practice Location Address Details
Address
5901 Grelot Rd
City
Mobile
State
Alabama
Zip
36609-3603
Phone Number
251-344-6191
Fax Number
251-344-6794
person
Provider Business Mailing Address Details
Address
5901 Grelot Rd
City
Mobile
State
Alabama
Zip
36609-3603
Phone Number
251-344-6191
Fax Number
251-344-6794
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3814 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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