# MITCHELL ORAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427146489
- **Authorized official:** DR. PHILLIP ANTHONY MITCHELL DMD, MD (OWNER)
- **Authorized official phone:** (205) 980-9000

## Contact information

- **Practice address:** 5511 HIGHWAY 280, SUITE 118, BIRMINGHAM, AL 35242-6585
- **Practice address phone:** (205) 980-9000
- **Practice address fax:** (205) 980-1399
- **Mailing address:** 5511 HIGHWAY 280, SUITE 118, BIRMINGHAM, AL 35242-6585
- **Mailing address phone:** (205) 980-9000
- **Mailing address fax:** (205) 980-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 03787 | AL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 17041 | AL | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 09/11/2025
