Oral & Facial Surgery Of The Shoals, L.L.C.
Dentist, Oral and Maxillofacial Surgery in Sheffield, AL. Organization (NPI-2).
NPI number1083662290
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083662290
- Entity type
- Organization (NPI-2)
- Legal business name
- Oral & Facial Surgery Of The Shoals, L.L.C.
- Organization subpart
- No
- Enumeration date
- May 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
398 Ashe BlvdSheffield, AL 35660-1729
Phone 256-383-1499 · Fax 256-383-9135
Mailing address
398 Ashe BlvdSheffield, AL 35660-1729
Phone 256-383-1499 · Fax 256-383-9135
Authorized official
Connie Gargis McIlwain
Office Manager
2563831499
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