Organization
BAY AREA ORAL SURGERY PC
Active
Other names
Zieman Pfeffle & Sheppard DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE MARZULLO (OFFICE MANAGER)
(251) 344-6191
Entity
Organization
Contact information
Practice address
5901 GRELOT RD, BUILDING C, MOBILE, AL 36609-3603
(251) 344-6191
(251) 344-6794
Mailing address
5901 GRELOT RD, BUILDING C, MOBILE, AL 36609-3603
(251) 344-6191
(251) 344-6794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3814
AL
174400000X
Specialist
4598
AL
174400000X
Specialist
5437
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000032729
BCBS OF AL
AL
01
—
000005454
BCBS
AL
01
—
0000090524
BCBS OF AL
AL
01
—
0000094869
BCBS OF AL
AL
01
—
1021853899
MEDICARE PTAN SHEPPARD
AL
05
—
165624
—
AL
05
—
167941
—
AL
05
—
257083
—
AL
Enumeration date
06/17/2006
Last updated
08/22/2023
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