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ALABAMA SURGICAL ARTS LLC NPI 1871085415


NPI Information

NPI: 1871085415
Provider Name: ALABAMA SURGICAL ARTS, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 01D2166512

Address:
4590 WOODMERE BLVD
MONTGOMERY, AL
ZIP 36106
Phone: (334) 271-4523
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ALABAMA SURGICAL ARTS, LLC is an oral and maxillofacial surgery dentist in Montgomery, 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. ALABAMA SURGICAL ARTS, LLC NPI is 1871085415. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4590 WOODMERE BLVD
MONTGOMERY, AL
ZIP 36106-918
Phone: (334) 271-4523
Fax: (334) 271-2002

The provider's authorized official is Sami Adam Nizam .
The authorized official title is Manager and has the following contact phone number (334) 271-2002.

The CLIA number assigned to this NPI record is 01D2166512 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 12/12/2018.


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
1204E00000XOral & Maxillofacial SurgeryNo
2363A00000XPhysician AssistantNo
31223S0112XDentistOral and Maxillofacial SurgeryYes

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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