Organization
SLEEP APNEA PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICO ALBERT DIXON III DDS (PRESIDENT)
(251) 706-1499
Entity
Organization
Contact information
Practice address
1055 MONTLIMAR DR, MOBILE, AL 36609-1708
(251) 706-1499
Mailing address
PO BOX 91627, MOBILE, AL 36691-1627
(251) 706-1499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5733C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00510BS
BCBS
AL
05
—
134191
—
AL
01
—
510DN
BCBS
AL
01
—
511-13806
BCBS LOCATION ID
AL
Enumeration date
07/05/2010
Last updated
01/19/2012
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