ALABAMA ORAL & MAXILLOFACIAL SURGERY LLC (NPI# 1073640785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073640785 |
| Entity Type | Organization |
| Organization Name | ALABAMA ORAL & MAXILLOFACIAL SURGERY LLC |
| Practice Address |
4590 Woodmere Blvd Montgomery AL 36106-2918 |
| Practice Telephone | 3342712002 |
| Practice Fax Number | 3342714523 |
| Mailing Telephone | 3342712002 |
| Mailing Fax Number | 3342714523 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | DR. WILLIAM J GOEHRING (OWNER) |
| Authorized Official Telephone | 3342712002 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2941 | AL | Dental Providers |
| Street Address |
4590 WOODMERE BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093776536 | Herbert Skipper Wilson | Specialist | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2006-03-31 |
| 1871085415 | Alabama Surgical Arts, LLC | Oral & Maxillofacial Surgery | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2018-05-30 |
| 1205150190 | Sami A Nizam II | Dentist | 4590 Woodmere Blvd, Montgomery, AL 36106 | 2010-03-21 |
| 1720012784 | Ann Marie Karst | Nurse Anesthetist, Certified Registered | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2006-07-10 |
| 1922069418 | William John Goehring | Specialist | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750482196 | Donald L Ingalls | Dentist | 7200 Halcyon Summit Dr, Montgomery, AL 36117-7047 | 2006-09-26 |
| 1043311392 | Oral and Maxillofacial Surgery Associates | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2006-09-26 |
| 1962659631 | Matthew W Johnson | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2008-08-25 |
| 1912051921 | Jeremiah Jason Parker | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117 | 2007-01-23 |
| 1154412336 | Richard A Kean | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2006-09-27 |
| 1174624506 | George M Bradford | Dentist | 5741 Carmichael Pkwy, Montgomery, AL 36117-2340 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1275059941 | Birmingham Oms Oral Facial & Implant Surgery LLC | Dentist | 4244 Cahaba Heights Ct Ste 300, Vestavia, AL 35243-5711 | 2017-08-15 |
| 1407267321 | Walter Harris Wilson | Dentist | 2290 Valleydale Rd Ste 100, Hoover, AL 35244-2113 | 2014-05-13 |
| 1104168244 | David W Davis | Dentist | 901 Leighton Ave Ste 401, Anniston, AL 36207-5703 | 2013-03-26 |
| 1942575444 | Medwell Duncan Dental | Dentist | 2705 Pelham Pkwy, Pelham, AL 35124-1704 | 2012-03-15 |
| 1578855078 | David G Minto Jr. | Dentist | 19748 Greeno Rd, Fairhope, AL 36532-3836 | 2011-05-03 |
| 1134359664 | Florence Oral and Maxillofacial Surgery | Dentist | 154 Titan Drive, Florence, AL 35630 | 2009-07-17 |
| 1396991899 | Sam Enoch Pruett Jr. | Dentist | 2816 Bunny Ln Sw, Decatur, AL 35603-4250 | 2008-08-15 |
| 1124236047 | Thomas Hughes Fuqua Jr. | Dentist | 747 N Dean Rd, Auburn, AL 36830-4027 | 2007-05-21 |
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.