MIDTOWN FAMILY DENTAL, P.C. (NPI# 1528581170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528581170 |
| Entity Type | Organization |
| Organization Name | MIDTOWN FAMILY DENTAL, P.C. |
| Other Organization Name | MIDTOWN FAMILY DENTAL,P.C. |
| Practice Address |
79 Midtown Park E Mobile AL 36606-4141 |
| Practice Telephone | (251) 473-3571 |
| Practice Fax Number | 2514733581 |
| Mailing Telephone | 2514733571 |
| Mailing Fax Number | 2514733581 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Authorized Official Name | DR. JAMES BLACKMAN (OWNER) |
| Authorized Official Telephone | 2514733571 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3655 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Midtown Family Dental,P.C. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MIDTOWN FAMILY DENTAL, P.C. | 30 West 32nd Street, 5th Floor, New York, New York 10001 |
| Alabama Business Registrations | Midtown Family Dental, P.C. | 79 Midtown Park East, Mobile, AL 36606 |
| Street Address |
79 MIDTOWN PARK E |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335857 | Midtown Family Dental Services LLC | Dentist | 79 Midtown Park E, Mobile, AL 36606-4141 | 2020-01-08 |
| 1497248918 | Donald Edward Waltman IIi | Dentist | 79 Midtown Park E, Mobile, AL 36606-4141 | 2018-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538754 | Affordable Dentures & Implants - Mobile, P.C. | Dentist | 4439 Rangeline Rd Ste A, Mobile, AL 36619-9551 | 2019-10-02 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1629563598 | Stephanie Berry Evans | Dentist | 7765 Airport Blvd Ste D200, Mobile, AL 36608-5038 | 2018-06-24 |
| 1346766979 | Saman Mostajabian | Dentist | 3281 Bel Air Mall Ste G18a, Mobile, AL 36606-3207 | 2017-08-15 |
| 1073033296 | Kelsey Nutt Peters | Dentist | 7760 Moffett Rd, Mobile, AL 36618-4136 | 2017-06-20 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1881093581 | Hubert H. Parker Iv, D.m.d PC | Dentist | 9985 Airport Blvd Ste B, Mobile, AL 36608-9525 | 2014-08-19 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1033452826 | Robert David Crist | Dentist | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2013-04-01 |
| 1316285034 | Timothy N Byrd | Dentist | 5920b Grelot Rd, Mobile, AL 36609-3604 | 2013-01-31 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.