MEDICARE: BAILEY CROW HINES DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5962	AL

General Provider Information

NPI Number	:	1952653362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY CROW HINES DMD

Provider Business Mailing Address
First Line	:	4634 BIT AND SPUR RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-2646
Country	:	US
Telephone Number	:	251-342-4926
Fax Number	:	251-342-3428

Provider Business Practice Location Address
First Line	:	4634 BIT AND SPUR RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-2646
Country	:	US
Telephone Number	:	251-342-4926
Fax Number	:	251-342-3428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	01/30/2025

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Directions to “ BAILEY CROW HINES DMD” Practice Location

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