Provider Demographics
NPI:1376316869
Name:MOBILE-OMS, LLC
Entity Type:Organization
Organization Name:MOBILE-OMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLENIX
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MD
Authorized Official - Phone:251-471-3381
Mailing Address - Street 1:715 DOWNTOWNER BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5401
Mailing Address - Country:US
Mailing Address - Phone:251-741-3381
Mailing Address - Fax:251-471-3383
Practice Address - Street 1:715 DOWNTOWNER BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5401
Practice Address - Country:US
Practice Address - Phone:251-741-3381
Practice Address - Fax:251-471-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty