MOSTELLAR DENTAL CENTER
NPI 1194770669
Clinic/Center - Dental in Bayou La Batre, AL

Active since May 23, 2006CLIA 01D0692392 · Waiver
1340 NORTH WINTZELL AVE., BAYOU LA BATRE, AL 36509(251) 824-2347(251) 824-4337 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mostellar Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSTELLAR DENTAL CENTER (NPI 1194770669) is a healthcare organization registered as a dental in Bayou La Batre, Alabama and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists James A. Holland, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194770669
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.
Location Address1340 NORTH WINTZELL AVE.Bayou La Batre, AL 36509
Mailing AddressPo Box 769Bayou La Batre, AL 36509-0769 · (251) 824-2347 · Fax (251) 824-4337
Fax(251) 824-4337
Organization SubpartNo
Authorized OfficialJames A. HollandCeo · (251) 824-2174
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 20, 2008
NPI 1194770669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in AL · 2006-293
1340 NORTH WINTZELL AVE., Bayou La Batre, AL 36509

Other Names 1

Doing Business AsMostellar Dental Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0692392

Mostellar Medical Center · Irvington, AL
Active · expires Jan 2, 2027
CLIA Number01D0692392
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorMs. Monica C. Taylor
Laboratory Phone(251) 824-2174
Laboratory LocationMostellar Medical Center12701 Padgett Switch Rd, Irvington, AL 36544
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayou La Batre Area Health Development Bd.Inc.'s NPI number?

The NPI number for Bayou La Batre Area Health Development Bd.Inc. is 1194770669. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Mostellar Dental Center.

Where is Bayou La Batre Area Health Development Bd.Inc. located?

Bayou La Batre Area Health Development Bd.Inc. is located at 1340 North Wintzell Ave., Bayou La Batre, AL 36509. The listed phone number is (251) 824-2347.

What is Bayou La Batre Area Health Development Bd.Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Bayou La Batre Area Health Development Bd.Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0692392) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayou La Batre Area Health Development Bd.Inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.