| Shelby Oral Facial Surgery | |
|
1 Inverness Center Pkwy Suite 200 Birmingham AL 35242-4817 | |
| (205) 789-5075 | |
| (205) 558-5775 |
| Full Name | Shelby Oral Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1 Inverness Center Pkwy, Birmingham, Alabama |
| Authorized Official Name and Position | Lisa L Miller (OWNER/PROVIDER) |
| Authorized Official Contact | 2057895075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Oral Facial Surgery 1 Inverness Center Pkwy Suite 200 Birmingham AL 35242-4817 Ph: (205) 789-5075 | Shelby Oral Facial Surgery 1 Inverness Center Pkwy Suite 200 Birmingham AL 35242-4817 Ph: (205) 789-5075 |
| NPI Number | 1447643523 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447643523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5364 (Alabama) | Primary |
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