Madison Oral And Facial Surgery, Llc | |
44 Hughes Rd Suite 1500 Madison AL 35758-2237 | |
(256) 774-3535 | |
Not Available |
Full Name | Madison Oral And Facial Surgery, Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 44 Hughes Rd, Madison, Alabama |
Authorized Official Name and Position | Rakesh Shah (MANAGING MEMBER) |
Authorized Official Contact | 2055725880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Madison Oral And Facial Surgery, Llc 44 Hughes Rd Suite 1500 Madison AL 35758-2237 Ph: (256) 774-3535 | Madison Oral And Facial Surgery, Llc 44 Hughes Rd Suite 1500 Madison AL 35758-2237 Ph: (256) 774-3535 |
NPI Number | 1346576915 |
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Provider Enumeration Date | 11/02/2009 |
Last Update Date | 11/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346576915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5551 (Alabama) | Primary |
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