# SHELBY ORAL FACIAL SURGERY

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

## Provider details

- **NPI number:** 1447643523
- **Authorized official:** DR. LISA L MILLER DMD, MD (OWNER/PROVIDER)
- **Authorized official phone:** (205) 789-5075

## Contact information

- **Practice address:** 1 INVERNESS CENTER PKWY, SUITE 200, BIRMINGHAM, AL 35242-4817
- **Practice address phone:** (205) 789-5075
- **Practice address fax:** (205) 558-5775
- **Mailing address:** 1 INVERNESS CENTER PKWY, SUITE 200, BIRMINGHAM, AL 35242-4817
- **Mailing address phone:** (205) 789-5075
- **Mailing address fax:** (205) 558-5775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5364 | AL | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/12/2015