Oral Surgery Associates, Pc | |
200 East Sand Mountain Drive Suite C Albertville AL 35950-2328 | |
(256) 878-1387 | |
Not Available |
Full Name | Oral Surgery Associates, Pc |
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Speciality | Dentist |
Location | 200 East Sand Mountain Drive, Albertville, Alabama |
Authorized Official Name and Position | Cecil Dorsett (ORAL SURGEON) |
Authorized Official Contact | 2564926363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oral Surgery Associates, Pc 200 East Sand Mountain Drive Suite C Albertville AL 35950 Ph: (256) 878-1387 | Oral Surgery Associates, Pc 200 East Sand Mountain Drive Suite C Albertville AL 35950-2328 Ph: (256) 878-1387 |
NPI Number | 1235265315 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0648290353 |
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Medicare Enrollment ID | O20051123000660 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235265315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Frank Edward Orr |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1215062211 PECOS PAC ID: 0042307167 Enrollment ID: I20111115000567 |
Provider Name | Cecil Riley Dorsett |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1922133925 PECOS PAC ID: 8224125349 Enrollment ID: I20111115000640 |
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