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METRO ORAL & MAXILLOFACIAL NPI 1023289998


NPI Information

NPI: 1023289998
Provider Name: METRO ORAL & MAXILLOFACIAL
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
100 METRO DR
DOTHAN, AL
ZIP 36303
Phone: (334) 699-5555
Get Directions

METRO ORAL & MAXILLOFACIAL is an oral and maxillofacial surgery dentist in Dothan, AL. The provider is an oral and maxillofacial surgery dentist specialized in 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. METRO ORAL & MAXILLOFACIAL NPI is 1023289998. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 METRO DR
DOTHAN, AL
ZIP 36303-985
Phone: (334) 699-5555

The provider's authorized official is Craig D Schmidtke .
The authorized official title is Oral Surgeon/owner and has the following contact phone number (334) 699-5555.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 3/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial Pathology5391CALABAMANo
21223X0008XDentistOral and Maxillofacial Radiology5391CALABAMANo
31223S0112XDentistOral and Maxillofacial Surgery5391CALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1755031OTHERALABAMAUNITED CONCORDIA
251529237OTHERALABAMABCBS OF ALABAMA
35391COTHERALABAMAALABAMA LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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