MOSTELLAR DENTAL CENTER – NPI #1194770669
Clinic/Center

MOSTELLAR DENTAL CENTER is an AHC clinic located in BAYOU LA BATRE, AL. NPPES has assigned the NPI number 1194770669 to MOSTELLAR DENTAL CENTER on May 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOSTELLAR DENTAL CENTER” is a dba name, the actual legal business name for this organization is BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 18 years ago on Apr 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOSTELLAR DENTAL CENTER below.

NPI Profile for
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.

NPI Number
1194770669
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.
Doing Business As (dba): MOSTELLAR DENTAL CENTER
Primary location
1340 NORTH WINTZELL AVE.
BAYOU LA BATRE, AL 36509
Phone: (251) 824-2347 Fax: (251) 824-4337
Mailing address
PO BOX 769
BAYOU LA BATRE, AL 36509-0769
Phone: (251) 824-2347 Fax: (251) 824-4337
Organization Subpart
No
Authorized Official
JAMES HOLLAND
CEO
Phone: (251) 824-2174
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 AL 2006-293

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.