Mitchell Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

03787 Issued in AL

Legal business name

MITCHELL ORAL SURGERY, LLC

Practice address

5511 Highway 280
Suite 118
Birmingham, AL 35242-6585

Phone

(205) 980-9000

Fax

(205) 980-1399

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Anthony Mitchell, DMD, MDNPI 1053325167

Title

Owner

Phone

(205) 980-9000

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Phillip Anthony Mitchell, D.M.D, M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Birmingham, AL
  • NPI 1053325167

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1427146489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 HIGHWAY 280",
            "address_2": "SUITE 118",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426585",
            "telephone_number": "205-980-9000",
            "fax_number": "205-980-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 HIGHWAY 280",
            "address_2": "SUITE 118",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426585",
            "telephone_number": "205-980-9000",
            "fax_number": "205-980-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-980-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "03787",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "17041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06576",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Crabtree Mishkin, M.A.E., B.C.B.A.
• Tushar Mishra, M.D./MBBS
• Destinee Miskel, LPC, NCC
• Hibah Missoum, PHARMD
• Jeanetta Helen Mistler
• Andrea Z Mitchell, FNP-BC
• Ashley Mitchell
• Ashley Mitchell
• Brittany Mitchell, O.D.
• Brittany Rowe Mitchell, PHARM.D

• Oral and Maxillofacial Surgery (Dentist) in Birmingham, AL
• Providers in Birmingham, 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 Sep 11, 2025; 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.