| Oral & Facial Surgery Of The Shoals, L.l.c. | |
|
398 Ashe Blvd Sheffield AL 35660-1729 | |
| (256) 383-1499 | |
| (256) 383-9135 |
| Full Name | Oral & Facial Surgery Of The Shoals, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 398 Ashe Blvd, Sheffield, Alabama |
| Authorized Official Name and Position | Connie Gargis Mcilwain (OFFICE MANAGER) |
| Authorized Official Contact | 2563831499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Of The Shoals, L.l.c. 398 Ashe Blvd Sheffield AL 35660-1729 Ph: (256) 383-1499 | Oral & Facial Surgery Of The Shoals, L.l.c. 398 Ashe Blvd Sheffield AL 35660-1729 Ph: (256) 383-1499 |
| NPI Number | 1083662290 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638199433 |
|---|---|
| Medicare Enrollment ID | O20051122000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083662290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Mark R Mcilwain |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1720045685 PECOS PAC ID: 2062410772 Enrollment ID: I20080806000188 |
| Provider Name | Christopher B Nester |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1306802665 PECOS PAC ID: 3870591589 Enrollment ID: I20080806000232 |
| Provider Name | Jonathan W Frederick |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1346397239 PECOS PAC ID: 4284764408 Enrollment ID: I20100615000761 |
| Provider Name | Daniel Lee Morris |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083751481 PECOS PAC ID: 3173662467 Enrollment ID: I20120417000843 |
Mcleary Dental Associates - Sheffield, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4012 Hatch Blvd, Sheffield, AL 35660 Phone: 256-383-2234 Fax: 256-978-5667 | |
Mcleary & Almon Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4012 Hatch Blvd, Sheffield, AL 35660 Phone: 256-383-2234 Fax: 256-978-5667 |