MATTHEW B FAY (NPI# 1013529296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013529296 |
Entity Type | Individual |
Full Name | MATTHEW B FAY |
Credential | DDS, MD |
Practice Address |
715 Downtowner Blvd Mobile AL 36609-5401 |
Practice Telephone | 2514713381 |
Practice Fax Number | 2514713383 |
Mailing Telephone | 2514713381 |
Mailing Fax Number | 2514713383 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-08-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | DN25227 | FL | Allopathic & Osteopathic Physicians |
Street Address |
715 DOWNTOWNER BLVD |
City | MOBILE |
State | AL |
Zip Code | 36609-5401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114088515 | Christopher D Mullenix | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2006-12-12 |
1881907988 | Michael Babston | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2010-07-17 |
1730240870 | Joseph W Gunter | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2006-12-13 |
1124189279 | Christopher Mullenix, Dmd, Md, PC | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
Find all providers in zip 36609 |
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 |
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 |
1306214200 | Lisa Miller Oral Facial Surgery, PC | Oral & Maxillofacial Surgery | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2015-09-09 |
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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.