| Mitchell Oral Surgery, Llc | |
|
5511 Highway 280 Suite 118 Birmingham AL 35242-6585 | |
| (205) 980-9000 | |
| (205) 980-1399 |
| Full Name | Mitchell Oral Surgery, Llc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 5511 Highway 280, Birmingham, Alabama |
| Authorized Official Name and Position | Phillip Anthony Mitchell (OWNER) |
| Authorized Official Contact | 2059809000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Oral Surgery, Llc 5511 Highway 280 Suite 118 Birmingham AL 35242-6585 Ph: (205) 980-9000 | Mitchell Oral Surgery, Llc 5511 Highway 280 Suite 118 Birmingham AL 35242-6585 Ph: (205) 980-9000 |
| NPI Number | 1427146489 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427146489 | NPI | - | NPPES |
| 06576 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 03787 (Alabama) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 17041 (Alabama) | Primary |
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