HUNTSVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PC


Address: 2314 Pansy St Sw, Huntsville, AL 35801-3803
Phone: 2565345028

HUNTSVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PC (NPI# 1386740140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386740140
Entity Type Organization
Organization Name HUNTSVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PC
Practice Address 2314 Pansy St Sw
Huntsville
AL 35801-3803
Practice Telephone 2565345028
Practice Fax Number 2565345073
Mailing Telephone 2565345028
Mailing Fax Number 2565345073
Enumeration Date 2006-09-16
Last Update Date 2007-08-15
Authorized Official Name DR. PHILIP BRENT ELLEDGE (OWNER)
Authorized Official Telephone 2565345028
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
5313 AL Dental Providers

Office Location

Street Address 2314 PANSY ST SW
City HUNTSVILLE
State AL
Zip Code 35801-3803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437114246 Philip B Elledge Oral & Maxillofacial Surgery 2314 Pansy St Sw, Huntsville, AL 35801-3803 2006-04-18
1104881721 Jim B Duke Jr. Oral & Maxillofacial Surgery 2314 Pansy St Sw, Huntsville, AL 35801-3803 2006-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
Find all providers in zip 35801

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871823963 Cecil Rosco Shrewsberry Iv Dentist 3231 Woodward Dr Ste B, Huntsville, TX 77340-4101 2010-01-12
1275540635 John Bondurant Harrison Dentist 213 Green Cove Rd Se, Huntsville, AL 35803-3005 2006-08-01
1447214424 Gary W Hudson Dentist 1105 Eagletree Ln Se, Huntsville, AL 35801-6447 2006-04-14
1205804721 Jason R Miller Dentist 910 Adams St Se Ste 215, Huntsville, AL 35801-3759 2006-03-10
1962497040 Carl Wayne Myers Dentist 2317 Whitesburg Dr S, Huntsville, AL 35801-3819 2005-09-15
1558360826 Stephen Earl Davis Dentist 1320 Windsor St, Huntsville, TX 77340-5616 2005-07-19
1346532611 Jason R. Miller, D.m.d., M.d., P.C. Dentist 910 Adams St Se, Ste. 215, Huntsville, AL 35801-3730 2011-05-05
1811171754 Landon D. Mclain Dentist 2045 Cecil Ashburn Dr Se, Suite 101, Huntsville, AL 35802-2563 2007-12-27
1932325677 Gary W. Hudson, Dmd, Md, PC Dentist 1105 Eagletree Ln Se, Huntsville, AL 35801-6447 2007-04-18
1497970222 David Joseph Furman Dentist 500 Whitesport Dr Sw, Suite #1, Huntsville, AL 35801-6451 2007-04-16
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City HUNTSVILLE
Zip Code 35801

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Dataset Information

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.

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