Oral & Facial Surgery of the Shoals, L.L.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.

Practice address

398 Ashe Blvd
Sheffield, AL 35660-1729

Phone

(256) 383-1499

Fax

(256) 383-9135

NPI assigned

May 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Connie Gargis McIlwain

Title

Office Manager

Phone

(256) 383-1499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Frederick, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sheffield, AL
  • NPI 1346397239

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Daniel Lee Morris Jr., D.M.D, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Florence, AL
  • NPI 1083751481
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083662290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499",
            "fax_number": "256-383-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499",
            "fax_number": "256-383-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCILWAIN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "GARGIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-383-1499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Emergency Physician Group
• NW Alabama Practice Management, LLC
• Kristy L Oden, CRNP
• Abbey Oliver, CRNP
• Amber Olsen, DO
• Wendy Lanessa Orr, CRNP
• Jacklyn Osborn, CRNP
• Lori L Pace, CRNP
• Brandon Lee Parker, CRNP
• Roy E Patrick, CRNA

• Oral and Maxillofacial Surgery (Dentist) in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.