# MALBIS PARKWAY PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548429160
- **Authorized official:** DR. KELLY M JONES DMD (PEDIATRIC DENTIST/OWNER)
- **Authorized official phone:** (251) 626-9924

## Contact information

- **Practice address:** 9807 MCSARA COURT, DAPHNE, AL 36527-8668
- **Practice address phone:** (251) 626-9924
- **Practice address fax:** (251) 626-9984
- **Mailing address:** 30888 PINE CT, SPANISH FORT, AL 36527-8668
- **Mailing address phone:** (251) 626-9924
- **Mailing address fax:** (251) 626-9984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5534 | AL | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008