DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER (NPI# 1831360601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831360601 |
| Entity Type | Organization |
| Organization Name | DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER |
| Practice Address |
2023 Danville Park Dr Sw Decatur AL 35603-1833 |
| Practice Telephone | 2563558224 |
| Practice Fax Number | 2563558819 |
| Mailing Telephone | 2563558224 |
| Mailing Fax Number | 2563558819 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. WILLIAM F LITTLEJOHN JR. (PRESIDENT) |
| Authorized Official Telephone | 2563558224 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529700210 | 05 | |
| AL | MEDICARE PROVIDER NUMBER | 000026618 | 01 |
| Street Address |
2023 DANVILLE PARK DR SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255543161 | William Floyd Littlejohn Jr. | Dentist | 2023 Danville Park Dr Sw, Decatur, AL 35603-1833 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| 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 |
|---|---|---|---|---|
| 1124453337 | Ladi Doonquah | Oral & Maxillofacial Surgery | 3660 Flat Shoals Rd Ste 100, Decatur, GA 30034-1649 | 2013-09-06 |
| 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 |
| 1013529296 | Matthew B Fay | Oral & Maxillofacial Surgery | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2020-08-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.