Organization
SOUTH ALABAMA SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKETA THOMPSON DMD (GENERAL DENTIST)
(251) 304-9005
Entity
Organization
Contact information
Practice address
4732 AIRPORT BLVD, MOBILE, AL 36608-3134
(601) 201-3700
Mailing address
4732 AIRPORT BLVD, MOBILE, AL 36608-3134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
09/18/2020
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