| Mostellar Dental Center | |
|
1340 North Wintzell Ave. Bayou La Batre AL 36509 | |
| (251) 824-2347 | |
| (251) 824-4337 |
| Full Name | Mostellar Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1340 North Wintzell Ave., Bayou La Batre, Alabama |
| Authorized Official Name and Position | James A. Holland (CEO) |
| Authorized Official Contact | 2518242174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mostellar Dental Center Po Box 769 Bayou La Batre AL 36509-0769 Ph: (251) 824-2347 | Mostellar Dental Center 1340 North Wintzell Ave. Bayou La Batre AL 36509 Ph: (251) 824-2347 |
| NPI Number | 1194770669 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194770669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2006-293 (Alabama) | Primary |
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