Provider Demographics
NPI:1801601299
Name:AIRPORT SMILES PC
Entity type:Organization
Organization Name:AIRPORT SMILES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:KREMPA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:251-586-2253
Mailing Address - Street 1:6350 AIRPORT BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3132
Mailing Address - Country:US
Mailing Address - Phone:251-343-4225
Mailing Address - Fax:
Practice Address - Street 1:6350 AIRPORT BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3132
Practice Address - Country:US
Practice Address - Phone:251-343-4225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty