Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GARDENDALE ORAL SURGERY, P.C.
Active
Organization
GARDENDALE ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN D LACKEY (FRONT OFFICE)
(256) 595-2131
Entity
Organization
Contact information
Practice address
919 SHARIT AVE STE 201, GARDENDALE, AL 35071
(205) 631-4004
(205) 631-4007
Mailing address
919 SHARIT AVE STE 201, GARDENDALE, AL 35071-5008
(205) 631-4004
(205) 631-4007
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
07/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers