Bay Pediatric & Adolescent Dentistry | |
115 Lottie Ln Fairhope AL 36532-2995 | |
(251) 928-5045 | |
(251) 929-3335 |
Full Name | Bay Pediatric & Adolescent Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 115 Lottie Ln, Fairhope, Alabama |
Authorized Official Name and Position | William Wells Hammock (OWNER) |
Authorized Official Contact | 2519285045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bay Pediatric & Adolescent Dentistry 115 Lottie Ln Fairhope AL 36532-2995 Ph: (251) 928-5045 | Bay Pediatric & Adolescent Dentistry 115 Lottie Ln Fairhope AL 36532-2995 Ph: (251) 928-5045 |
NPI Number | 1609848308 |
---|---|
Provider Enumeration Date | 02/06/2006 |
Last Update Date | 02/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609848308 | NPI | - | NPPES |
529923190 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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