UNIVIVERSITY ORAL AND FACIAL SURGERY, P.C. (NPI# 1578634515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578634515 |
| Entity Type | Organization |
| Organization Name | UNIVIVERSITY ORAL AND FACIAL SURGERY, P.C. |
| Practice Address |
651 Helen Keller Blvd Tuscaloosa AL 35404-2983 |
| Practice Telephone | 2055562323 |
| Practice Fax Number | 2055562341 |
| Mailing Telephone | 2055562323 |
| Mailing Fax Number | 2055562341 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DR. WALTER RONALD MCILWAIN (PRESIDENT) |
| Authorized Official Telephone | 2055562323 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
651 HELEN KELLER BLVD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689620155 | Stevan Craig Fairburn | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-05-26 |
| 1700176625 | John Rhodes Farnham | Oral & Maxillofacial Surgery | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2011-04-12 |
| 1932141173 | Walter Ronald Mcilwain | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-06-12 |
| 1255371308 | James J Link | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-06-07 |
| 1790725844 | John Terry Carlson | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| 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 |
|---|---|---|---|---|
| 1689620155 | Stevan Craig Fairburn | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-05-26 |
| 1932141173 | Walter Ronald Mcilwain | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-06-12 |
| 1255371308 | James J Link | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-06-07 |
| 1790725844 | John Terry Carlson | Dentist | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2006-06-07 |
| 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 | TUSCALOOSA |
| Zip Code | 35404 |
Please comment or provide details below to improve the information on UNIVIVERSITY ORAL AND FACIAL SURGERY, P.C..
| 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.