MADISON ORAL AND FACIAL SURGERY, LLC (NPI# 1346576915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346576915 |
| Entity Type | Organization |
| Organization Name | MADISON ORAL AND FACIAL SURGERY, LLC |
| Practice Address |
44 Hughes Rd Suite 1500 Madison AL 35758-2237 |
| Practice Telephone | 2567743535 |
| Mailing Telephone | 2567743535 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |
| Authorized Official Name | DR. RAKESH SHAH (MANAGING MEMBER) |
| Authorized Official Telephone | 2055725880 |
| Authorized Official Credential | MD, DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5551 | AL | Dental Providers |
| Street Address |
44 HUGHES RD SUITE 1500 |
| City | MADISON |
| State | AL |
| Zip Code | 35758-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174564918 | Patricia Gissendanner Moody | Pediatrics | 44 Hughes Rd, Suite 2500, Madison, AL 35758-2237 | 2006-06-10 |
| 1174078596 | Precision Psychiatric Services LLC | Clinic/Center | 44 Hughes Rd, Suite 2350, Madison, AL 35758-3045 | 2016-08-16 |
| 1700273208 | North Alabama Oral and Facial Surgery LLC | Dentist | 44 Hughes Rd, Madison, AL 35758-3045 | 2015-04-22 |
| 1548673601 | Tasha H Olsen | Physical Therapist | 44 Hughes Rd, Suite 1050, Madison, AL 35758-3045 | 2014-06-06 |
| 1487906178 | Lisa J Spears | Massage Therapist | 44 Hughes Rd, Suite 1050, Madison, AL 35758-3045 | 2012-10-05 |
| 1043520943 | Gayatri Venkatraman | Family Medicine | 44 Hughes Rd, Suite 1300, Madison, AL 35758-3045 | 2010-10-14 |
| 1679614374 | Sportsmed Orthopaedic Specialists, PC | Orthopaedic Surgery | 44 Hughes Rd, Suite 1100, Madison, AL 35758-2237 | 2007-02-08 |
| 1437268489 | Norman Eugene Mccoomer | Specialist | 44 Hughes Rd, Suite 2500, Madison, AL 35758 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| 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 |
|---|---|---|---|---|
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1720202153 | Stephen Charles Greer II Dmd | Dentist | 401 Baptist Drive, Suite 207, Madison, MS 39110 | 2007-04-13 |
| 1164599460 | David Franklin Butler | Dentist | 505 Cragmont St, Madison, IN 47250-3003 | 2006-11-29 |
| 1598788796 | Mark K Jackson | Dentist | 7007 Old Sauk Road, Madison, WI 53717 | 2006-07-26 |
| 1891727152 | Karen S Ablow | Dentist | 145 Durham Road, Madison, CT 06443 | 2006-07-07 |
| 1851373625 | Jeffrey Scott Brown | Dentist | 106 Highland Way Ste 207, Madison, MS 39110-6930 | 2005-11-17 |
| 1700273208 | North Alabama Oral and Facial Surgery LLC | Dentist | 44 Hughes Rd, Madison, AL 35758-3045 | 2015-04-22 |
| 1174928709 | David F Butler, Dds | Dentist | 505 Cragmont St, Madison, IN 47250-3003 | 2014-10-24 |
| 1245416429 | Harold C. Peeples, Dds, PC | Dentist | 85 Cude Ln, Madison, TN 37115-2292 | 2008-01-17 |
| Find all providers in MADISON | ||||
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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.