MIDTOWN FAMILY DENTAL SERVICES LLC (NPI# 1891335857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891335857 |
| Entity Type | Organization |
| Organization Name | MIDTOWN FAMILY DENTAL SERVICES LLC |
| Practice Address |
79 Midtown Park E Mobile AL 36606-4141 |
| Practice Telephone | 2514733571 |
| Practice Fax Number | 2514733581 |
| Mailing Telephone | 2514733571 |
| Mailing Fax Number | 2514733581 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | DR. DONALD E WALTMAN III (MANAGING MEMBER) |
| Authorized Official Telephone | 2514733571 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Midtown Family Dental | Doing Business As Name - Organization |
| Street Address |
79 MIDTOWN PARK E |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528581170 | Midtown Family Dental, P.C. | Dentist | 79 Midtown Park E, Mobile, AL 36606-4141 | 2017-07-25 |
| 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 | 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.