SUMMIT SMILES PEDIATRIC DENTISTRY, LLC (NPI# 1629602529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629602529 |
| Entity Type | Organization |
| Organization Name | SUMMIT SMILES PEDIATRIC DENTISTRY, LLC |
| Practice Address |
3106 James Madison Dr E Mobile AL 36693-4060 |
| Practice Telephone | 2514559787 |
| Mailing Telephone | 2514559787 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. SEAN CLAUDE GUNNELS (PEDIATRIC DENTIST (PEDODONTIST)) |
| Authorized Official Telephone | 2514559787 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
3106 JAMES MADISON DR E |
| City | MOBILE |
| State | AL |
| Zip Code | 36693-4060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
| 1982823548 | Eric Carey Dekle | Physical Therapist | 1220 Azalea Road, Mobile, AL 36693 | 2007-04-24 |
| 1528189198 | Roy Edward Kadel | Chiropractor | 3504 Shadow Wood Court, Mobile, AL 36693 | 2007-04-02 |
| 1578606174 | John P Kline | Psychologist | 5406 Spring Dr, Mobile, AL 36693 | 2007-02-14 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1669541595 | Alison Rester Akridge | Dentist | 3977 Burma Rd, Mobile, AL 36693 | 2006-11-07 |
| 1376612200 | Skyline Family Dental Care PC | Dentist | 3977 Burma Road, Mobile, AL 36693 | 2006-11-07 |
| 1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
| 1356390702 | Mobility Medical of North | Durable Medical Equipment & Medical Supplies | 3954 Demetropolis Rd, Mobile, AL 36693 | 2006-05-10 |
| 1043441041 | Renee' Huff | Social Worker | 5750a Southland Dr, Mobile, AL 36693 | 2009-08-07 |
| Find all providers in zip 36693 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1528154176 | Joel Bryant Welford | Dentist | 4732 Airport Blvd., Mobile, AL 36608 | 2006-10-04 |
| 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.