GARDENDALE ORAL SURGERY, P.C. is an oral and maxillofacial surgery dentist in Gardendale, AL. The provider is 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. GARDENDALE ORAL SURGERY, P.C. NPI is 1336632561. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
919 SHARIT AVE STE 201
GARDENDALE, AL
ZIP 35071
Phone: (205) 631-4004
Fax: (205) 631-4007
The provider's authorized official is Justin D Lackey .
The authorized official title is Front Office and has the following contact phone number (256) 595-2131.
The CLIA number assigned to this NPI record is 01D2142868 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 6/12/2018 and was last updated on 7/5/2018.