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Organization

MOBILE BAY DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANCE CHRISTOPHER HANKINSON D.M.D (DENTIST)
(251) 433-7717
Entity
Organization

Contact information

Practice address
301 SAINT JOSEPH ST, MOBILE, AL 36602-4037
(251) 433-7717
(251) 433-9384
Mailing address
301 SAINT JOSEPH ST, MOBILE, AL 36602-4037
(251) 433-7717
(251) 433-9384

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5226
AL
152W00000X
Optometrist
S-779-TA-178
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14048
BCBS OF ALABAMA
AL
05
529912860
AL
Enumeration date
10/04/2006
Last updated
08/01/2014
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