Individual
DANIEL A DENNIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-5114
Mailing address
50B MIDTOWN PARK W, MOBILE, AL 36606-4148
(251) 435-5114
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10944
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023466
—
AL
01
—
051023466
BLUE CROSS BLUE SHIELD
AL
05
—
114447
—
AL
05
—
114448
—
AL
05
—
114481
—
AL
05
—
114482
—
AL
01
—
1467434720
TRICARE SOUTH
AL
01
—
511-00125
BCBS
AL
01
—
511-00126
BCBS
AL
01
—
511-00127
BCBS
AL
01
—
511-00128
BCBS
AL
Enumeration date
11/14/2005
Last updated
04/03/2019
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