Oral and Maxillofacial Surgery of East Al

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2956CS Issued in AL

Legal business name

ORAL AND MAXILLOFACIAL SURGERY OF EAST AL

Practice address

121 N 20TH St Ste 20B
Opelika, AL 36801-5456

Phone

(334) 749-3436

Fax

(334) 749-3223

NPI assigned

Aug 25, 2006

Last updated

Oct 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Grady, DDSNPI 1528175270

Title

President

Phone

(334) 749-3436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Daniel Grady, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Opelika, AL
  • NPI 1528175270
  Authorized official Same address or phone

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1417064270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 20B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015456",
            "telephone_number": "334-749-3436",
            "fax_number": "334-749-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 20B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015456",
            "telephone_number": "334-749-3436",
            "fax_number": "334-749-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY OF EAST AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-749-3436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "2956CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Opelika, AL
• Providers in Opelika, 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 Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.