NPIMap

Organization Active NPI

David Ashley MD DMD Oral Surgery Group, a Professional Dental Corp

Doing business as Oral Surgery and Wisdom Teeth of Alabama

  • Oral and Maxillofacial Surgery (Dentist)
  • Talladega, AL
National Provider Identifier
1669370888
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP
Doing business as
Oral Surgery and Wisdom Teeth of Alabama
Practice address
1004 South St E
Talladega, AL 35160-7708
Phone
(800) 600-0220
Fax
(337) 541-2270
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Mary I Deleon
Title
Provider Enrollment Coordinator
Phone
(941) 763-2107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1004 South St E
Talladega, AL 35160-7708

Mailing address

813 Shades Creek Pkwy Ste 205
Birmingham, AL 35209-4512
Phone (800) 600-0020

Other names 1

  • Oral Surgery and Wisdom Teeth of Alabama Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Ashley MD DMD Oral Surgery Group a Professional Dental Corporation20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1669370888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SHADES CREEK PKWY STE 205",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094512",
            "telephone_number": "800-600-0020",
            "fax_number": "337-541-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SOUTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351607708",
            "telephone_number": "800-600-0220",
            "fax_number": "337-541-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "941-763-2107"
    },
    "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": [
        {
            "organization_name": "Oral Surgery and Wisdom Teeth of Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.