Minto Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6381 Issued in AL

Legal business name

MINTO ORAL & MAXILLOFACIAL SURGERY

Practice address

19748 Greeno Rd
Fairhope, AL 36532-3836

Phone

(251) 990-5959

Fax

(521) 378-9032

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Gordon Minto Jr., DMD, MDNPI 1578855078

Title

Owner

Phone

(251) 990-5959

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• David G Minto Jr., DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fairhope, AL
  • NPI 1578855078

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official
• Rodger Lance Grissett, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairhope, AL
  • NPI 1952416869
  NPD (past)
• Daniel John Fisher, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Camp Pendleton, CA
  • NPI 1710266044
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1649707514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19748 GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19748 GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323836",
            "telephone_number": "251-990-5959",
            "fax_number": "521-378-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTO ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "MINTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-990-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinsey Miller, LPC, NCC
• Zachary Miller, PA-C
• Allan David Mills, M.D.
• Anna Mills, OT
• Alexander James Minney, MD
• David G Minto Jr., DMD
• Lori Harris Minto, MD
• Mishegas
• Megan E Missanelli, M.D.
• David Mitchell, MD

• Oral and Maxillofacial Surgery (Dentist) in Fairhope, AL
• Providers in Fairhope, 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 May 22, 2017; 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.