Individual
JAMILA SHANI MCKINNIS RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3805 AIRPORT BLVD, MOBILE, AL 36608-1619
(251) 343-9998
(337) 828-4717
Mailing address
3805 AIRPORT BLVD, MOBILE, AL 36608-1619
(251) 343-9998
(337) 828-4717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6830
AL
1223G0001X
General Practice Dentistry
6907
LA
1223G0001X
General Practice Dentistry
DN23187
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2485130
—
LA
Enumeration date
02/11/2017
Last updated
06/01/2022
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