Southern Roots Family and Cosmetic Dentistry
Southern Roots Family and Cosmetic Dentistry is a Dental Clinic/Center in Mobile, Alabama. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6154 Omni Park DrMobile, AL 36609-5195
Phone: (251) 414-5142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1336973999 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Vickers — Owner · (251) 342-0380 |
| NPI enumerated | August 27, 2024 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
| Mailing address | 6154 Omni Park Dr, Mobile, AL 36609-5195 |
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