Oral And Maxillofacial Surgery Of East Al in Opelika - Oral And Maxillofacial Surgery

Oral And Maxillofacial Surgery Of East Al - NPI 1417064270

Oral And Maxillofacial Surgery Of East Al is a Oral And Maxillofacial Surgery in Opelika, Alabama. Oral And Maxillofacial Surgery Of East Al practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral And Maxillofacial Surgery Of East Al is 1417064270. The last update date is 2016-10-07.

Oral And Maxillofacial Surgery Of East Al's current location address is 121 N 20th St Ste 20b, Opelika, Alabama. You can contact this provider via phone number 3347493436 and fax number 3347493223. The mailing address for Oral And Maxillofacial Surgery Of East Al is 121 N 20th St Ste 20b, Opelika, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oral And Maxillofacial Surgery Of East Al
Address 121 N 20th St Ste 20b, Opelika, Alabama
Phone Number 3347493436
Fax Number 3347493223
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Grady James
Credentials DDS
Telephone Number 3347493436

NPI Number Detail

NPI Number 1417064270
Provider Enumeration Date 2006-08-25
Last Updated Date 2016-10-07

Provider Mailing Address Detail

Address 121 N 20th St Ste 20b
City Opelika
State Alabama (AL)
Post Code 368015456
Phone Number 3347493436
Fax Number 3347493223

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 2956CS
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Oral And Maxillofacial Surgery Of East Al

What is the unique 10-digit identification code assigned to Oral And Maxillofacial Surgery Of East Al by the Centers for Medicare & Medicaid Services?

The Oral And Maxillofacial Surgery Of East Al has been issued the NPI (National Provider Identifier) 1417064270, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Oral And Maxillofacial Surgery Of East Al is physically located?

The Oral And Maxillofacial Surgery Of East Al is situated at the following address: 121 N 20Th St Ste 20B, Opelika, AL 368015456.

What is Oral And Maxillofacial Surgery Of East Al's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Oral And Maxillofacial Surgery Of East Al's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Oral And Maxillofacial Surgery Of East Al receive the assignment of its 1417064270 from the Centers for Medicare & Medicaid Services?

The Oral And Maxillofacial Surgery Of East Al was issued its 1417064270 by the Centers for Medicare & Medicaid Services on 2006-08-25.

As of what date were the details pertaining to Oral And Maxillofacial Surgery Of East Al last refreshed?

The information related to the Oral And Maxillofacial Surgery Of East Al, including its address, specialty, and other relevant details, was last updated on 2016-10-07.

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