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Contact Information

COCKRELL DENTAL OFFICE LLC
1040 HILLCREST RD
MOBILE, AL36695
 Phone: 251-639-0110
 Fax: 251-634-1097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for COCKRELL DENTAL OFFICE LLC

NPI # 1285710400
LBN Legal business name COCKRELL DENTAL OFFICE LLC
Authorized official KEVIN COCKRELL - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AL License # 4059
AL Other 51090325 BLUE CROSS BLUE SHIELD
AL Other 51091274 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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