| Gardendale Oral Surgery, P.c. | |
|
919 Sharit Ave Ste 201 Gardendale AL 35071 | |
| (205) 631-4004 | |
| (205) 631-4007 |
| Full Name | Gardendale Oral Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 919 Sharit Ave Ste 201, Gardendale, Alabama |
| Authorized Official Name and Position | Justin D Lackey (FRONT OFFICE) |
| Authorized Official Contact | 2565952131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardendale Oral Surgery, P.c. 919 Sharit Ave Ste 201 Gardendale AL 35071-5008 Ph: (205) 631-4004 | Gardendale Oral Surgery, P.c. 919 Sharit Ave Ste 201 Gardendale AL 35071 Ph: (205) 631-4004 |
| NPI Number | 1336632561 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336632561 | NPI | - | NPPES |
| 216971 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
North Jefferson Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Sharit Ave, Stuite 113, Gardendale, AL 35071 Phone: 205-631-2240 Fax: 205-631-1611 | |
Gardendale Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2334 Decatur Hwy, Gardendale Dental Care, Gardendale, AL 35071 Phone: 205-631-1879 Fax: 205-631-1887 | |
Cheri W Cunningham Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Main St, Gardendale, AL 35071 Phone: 205-285-9661 Fax: 205-285-9663 | |
Courington Dental Enterprises, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Fieldstown Rd Ste 120, Gardendale, AL 35071 Phone: 256-682-4248 | |
Carol Ann D. Nicrosi Dmd, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Main St, Gardendale, AL 35071 Phone: 205-631-4572 Fax: 205-631-4979 | |
Haight Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Odum Rd Ste 103, Gardendale, AL 35071 Phone: 205-285-3392 |