Shelby Oral Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5364 Issued in AL

Legal business name

SHELBY ORAL FACIAL SURGERY

Practice address

1 Inverness Center Pkwy
Suite 200
Birmingham, AL 35242-4817

Phone

(205) 789-5075

Fax

(205) 558-5775

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By 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. Lisa L Miller, DMD, MD

Title

Owner/Provider

Phone

(205) 789-5075

Specialties & licenses 1

Addresses

Tax ID family

Shelby Oral Facial Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shelby Oral Facial Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Alabaster, AL
  • NPI 1366701450
  NPD tax ID

Locations

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1447643523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INVERNESS CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424817",
            "telephone_number": "205-789-5075",
            "fax_number": "205-558-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INVERNESS CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424817",
            "telephone_number": "205-789-5075",
            "fax_number": "205-558-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY ORAL FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "205-789-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "5364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Sheibley, DMD
• Saulat Sajjad Sheikh, M.D.
• Steven G Sheils, M.D.
• Todd Michael Sheils, M.D.
• Trey Michael Sheils
• Shelby Sandlin Counseling LLC
• Ami Teague Shell, PHARMD
• John Clark Shell, M.D.
• Jennifer Lind Shelor, M.S., CCC-SLP
• Shelton Home Healthcare

• 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 Mar 12, 2015; 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.