SHELBY ORAL FACIAL SURGERY PC (NPI# 1366701450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366701450 |
| Entity Type | Organization |
| Organization Name | SHELBY ORAL FACIAL SURGERY PC |
| Practice Address |
420 1st St N Alabaster AL 35007-8707 |
| Practice Telephone | 2052080167 |
| Practice Fax Number | 8002448132 |
| Mailing Telephone | 2052080167 |
| Mailing Fax Number | 8002448132 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DR. NICHOLAS RYAN LIVINGSTON (MEMBER) |
| Authorized Official Telephone | 2052080167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
420 1ST ST N |
| City | ALABASTER |
| State | AL |
| Zip Code | 35007-8707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881790640 | Suzy Triplett | Physical Therapist | 420 1st St N, Alabaster, AL 35007-8707 | 2006-09-16 |
| 1548650625 | Everts, Livingston and Miller Surgical Services, PC | Dentist | 420 1st St N, Alabaster, AL 35007-8707 | 2015-01-28 |
| 1427266345 | Joshua Edward Everts | Dentist | 420 1st St N, Alabaster, AL 35007-8707 | 2007-05-21 |
| 1346459278 | Nicholas Ryan Livingston | Dentist | 420 1st St N, Alabaster, AL 35007-8707 | 2007-05-21 |
| 1326131343 | Physiotherapy Associates Inc | Clinic/Center | 420 1st St N, Alabaster, AL 35007-8707 | 2006-10-02 |
| 1184724791 | Lindsay S Anderson | Physical Therapy Assistant | 420 1st St N, Alabaster, AL 35007-8707 | 2006-09-24 |
| 1790885309 | Jodi Caver | Physical Therapy Assistant | 420 1st St N, Alabaster, AL 35007-8707 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713167 | Jenifer Justice | Nurse Practitioner | 145 Sundance, Alabaster, AL 35007 | 2018-03-15 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| 1104345222 | William Alexander Woodard | Nurse Practitioner | 300 1st Street North Ste. C, Alabaster, AL 35007 | 2017-09-11 |
| 1891219432 | Alabama Dental Professionals, PC | Dentist | 9100 Highway 119, Alabaster, AL 35007 | 2017-07-26 |
| 1316389950 | Wellscripts,inc | Pharmacy | 205 Clover Dale Cir, Alabaster, AL 35007 | 2013-07-24 |
| 1366704991 | Lindsey Estelle Matthews | Pathology | 1004 1st St N Ste 200, Alabaster, AL 35007 | 2012-06-11 |
| 1760707061 | Robert Mcgowin Blake | Massage Therapist | 643 First Street North, Alabaster, AL 35007 | 2010-03-30 |
| 1033371323 | Nopporn Unnoppet | Internal Medicine | 1010 1st Street North, Ste 210, Alabaster, AL 35007 | 2008-06-27 |
| 1881870673 | Renee W Smith | Counselor | 76-b Fulton Spring Dr, Alabaster, AL 35007 | 2008-01-11 |
| 1235334459 | Naomi Hill Washington | Family Medicine | 1000 1st Ave N, Alabaster, AL 35007 | 2007-06-18 |
| Find all providers in zip 35007 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760895866 | Kelly Sue Sayre | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2014-06-05 |
| 1528101698 | Leroy A Kamelchuk | Oral & Maxillofacial Surgery | 1107 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-02-15 |
| 1528162773 | William Carl Ray Jr. | Oral & Maxillofacial Surgery | 9133 Parkway East, Birmingham, AL 35206-1508 | 2006-09-11 |
| 1194838557 | Allan Koplan | Oral & Maxillofacial Surgery | 3332 Old Montgomery Hwy, Ste 111, Birmingham, AL 35209-4249 | 2006-08-17 |
| 1720034531 | Bobby R Lewis | Oral & Maxillofacial Surgery | 3029 Allison Bonnett Memorial Dr, Bessemer, AL 35023-2364 | 2006-05-25 |
| 1780636233 | Premier Anesthesia of Montgomery PC | Oral & Maxillofacial Surgery | 2105 East South Blvd, Montgomery, AL 36116 | 2006-05-16 |
| 1437114246 | Philip B Elledge | Oral & Maxillofacial Surgery | 2314 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-04-18 |
| 1013529296 | Matthew B Fay | Oral & Maxillofacial Surgery | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2020-08-19 |
| 1578123980 | Jordan Gigliotti | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2019-06-18 |
| 1871085415 | Alabama Surgical Arts, LLC | Oral & Maxillofacial Surgery | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.