MTPM, LLC (NPI# 1821475252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821475252 |
| Entity Type | Organization |
| Organization Name | MTPM, LLC |
| Other Organization Name | MOBILE BAY DENTAL AND VISION |
| Practice Address |
301 Saint Joseph St Mobile AL 36602-4037 |
| Practice Telephone | 2514337717 |
| Practice Fax Number | 2514339384 |
| Mailing Telephone | 2514337717 |
| Mailing Fax Number | 2514339384 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MICHAEL GAMOTIS (MEMBER) |
| Authorized Official Telephone | 2515917669 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5867 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mobile Bay Dental and Vision | Doing Business As Name - Organization |
| Street Address |
301 SAINT JOSEPH ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36602-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003822545 | Lance Christopher Hankinson | Dentist | 301 Saint Joseph St, Mobile, AL 36602 | 2006-08-01 |
| 1093102386 | Mobile Bay Vision, LLC | Optometrist | 301 Saint Joseph St, Mobile, AL 36602-4037 | 2015-04-24 |
| 1669735270 | Charles Anthony Cusimano | Dentist | 301 Saint Joseph St, Mobile, AL 36602-4037 | 2012-06-19 |
| 1255610564 | Phillip Nelson Greer | Dentist | 301 Saint Joseph St, Mobile, AL 36602-4037 | 2011-08-04 |
| 1649559949 | Michael Jerome Gamotis | Dentist | 301 Saint Joseph St, Mobile, AL 36602-4037 | 2011-08-04 |
| 1922193002 | Mobile Bay Dental LLC | Optometrist | 301 Saint Joseph St, Mobile, AL 36602-4037 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801444062 | L&d Enterprise, Inc. | Durable Medical Equipment & Medical Supplies | 225 Dauphin St, Suite 300, Mobile, AL 36602 | 2019-08-30 |
| 1942715289 | Lilly Pad Home Health, LLC | Respite Care | 11 North Water Street, Mobile, AL 36602 | 2017-12-08 |
| 1144667015 | Tonya Michelle Vaughan | Marriage & Family Therapist | 212 South Dearborn Street, Mobile, AL 36602 | 2013-05-31 |
| 1144376047 | Industrial Rehab Inc | Physical Medicine & Rehabilitation | 305 North Water St., Mobile, AL 36602 | 2007-01-25 |
| 1275684417 | John A. Hamilton | Preventive Medicine | 305 N. Water St., Mobile, AL 36602 | 2007-01-15 |
| 1407816713 | City of Mobile | Ambulance | 701 St Francis Street, Mobile, AL 36602 | 2006-03-23 |
| 1730681750 | Sleep Management LLC | Respiratory Therapist, Registered | 11 North Water Street, Suite 10290 #1066/1067, Mobile, AL 36602 | 2018-03-06 |
| 1700289667 | Ilene Boykin | Nurse Practitioner | 11 N Water St Fl 10, Mobile, AL 36602 | 2014-10-06 |
| 1811158991 | Loren Day Taylor | Specialist | 305 North Water St., Mobile, AL 36602 | 2008-06-20 |
| 1699845255 | Azalea Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 805 S. Church St., Suite B, Mobile, AL 36602-1112 | 2006-11-09 |
| Find all providers in zip 36602 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1164918843 | Spencer Wright | Dentist | 2423 Schillinger Rd S Ste 104, Mobile, AL 36695-4142 | 2018-07-06 |
| 1437527736 | Mobile Bay LLC | Dentist | 3281 Bel Air Mall, Suite G18a, Mobile, AL 36606-3207 | 2015-09-03 |
| 1245617141 | Rozalia Mandras Pitruzzello | Dentist | 3716 Airport Blvd, Mobile, AL 36608-1618 | 2015-04-29 |
| 1801200134 | Lee Redditt | Dentist | 120 S University Blvd, Mobile, AL 36608-3045 | 2014-06-14 |
| 1174949549 | R Henry Esham II Dmd, PC | Dentist | 703 Bishop Ln N, Mobile, AL 36608-5838 | 2014-03-10 |
| 1548604739 | Tillman's Corner Dental, P.C. | Dentist | 5659 Three Notch Rd., Mobile, AL 36619 | 2013-04-18 |
| 1104122779 | Hubert H. Parker Iv Dmd PC | Dentist | 505 Georgian Dr Ste B, Mobile, AL 36609-3432 | 2011-01-31 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1205069200 | David V Adams | Dentist | 821 S University Blvd, Mobile, AL 36609-7873 | 2009-08-25 |
| 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.