MOBILE PREMIER PEDIATRIC DENTISTRY, LLC (NPI# 1881608750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881608750 |
| Entity Type | Organization |
| Organization Name | MOBILE PREMIER PEDIATRIC DENTISTRY, LLC |
| Other Organization Name | DR. MAUREEN T. BALDY, DMD |
| Practice Address |
3920 Airport Blvd Ste B Mobile AL 36608-2207 |
| Practice Telephone | 2513423323 |
| Mailing Telephone | 2513423323 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN CHARLES WILLIAMS (BUSINESS MANAGER) |
| Authorized Official Telephone | 2513423323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4141 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr. Maureen T. Baldy, DMD | Other Name - Individual/Organization |
| Street Address |
3920 AIRPORT BLVD STE B |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522395 | Charles Boyette Hunter | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2005-07-19 |
| 1497198659 | Savannah Irene Browning | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2013-04-08 |
| 1295863413 | Maureen T Baldy | Dentist | 3920 Airport Blvd, Ste B, Mobile, AL 36608-2207 | 2007-03-01 |
| 1841356862 | Matthew Cepeda | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2006-12-28 |
| 1689639312 | Children's Medical Group, P.a. | Specialist | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2006-04-18 |
| 1144291550 | Michael Edward Little Jr. | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2006-02-01 |
| 1750381505 | Norma Faye Roberts | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2005-07-22 |
| 1609875764 | Lisa M Mcdonough | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2005-07-20 |
| 1679572622 | James W Roberts Jr. | Pediatrics | 3920 Airport Blvd, Mobile, AL 36608-2207 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602529 | Summit Smiles Pediatric Dentistry, LLC | Dentist | 3106 James Madison Dr E, Mobile, AL 36693-4060 | 2020-02-28 |
| 1447681861 | Mobile Pediatric Dentistry | Dentist | 1105 Hillcrest Rd Ste B, Mobile, AL 36695-3921 | 2013-12-11 |
| 1831392380 | Lauren Moore Laird | Dentist | 801 University Blvd S Ste B, Mobile, AL 36609-2923 | 2007-06-11 |
| 1962527432 | Douglas H. Grant | Dentist | 5047 Cottage Hill Rd, Mobile, AL 36609-4204 | 2007-03-21 |
| 1447343181 | Marion Bancroft Mcmurphy | Dentist | 4732 Airport Blvd., Mobile, AL 36608 | 2006-10-02 |
| 1659545135 | Michele Stringer Platt | Dentist | 4736 Airport Blvd, Suite B, Mobile, AL 36608-3171 | 2008-04-16 |
| 1871623736 | Stephen Everett Greenleaf IIi | Dentist | 801 University Blvd S, Ste B, Mobile, AL 36609-2923 | 2007-03-07 |
| 1104956069 | Earl Gaines Thomas | Dentist | 801 University Blvd S, Ste B, Mobile, AL 36609-2923 | 2007-03-07 |
| 1437289303 | South Alabama Pediatric Dentistry LLC | Dentist | 801 University Blvd S, Ste B, Mobile, AL 36609-2923 | 2007-03-07 |
| 1295863413 | Maureen T Baldy | Dentist | 3920 Airport Blvd, Ste B, Mobile, AL 36608-2207 | 2007-03-01 |
| 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.