# RODEN-OMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roden Oral, Facial, and Dental Implant Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518730019
- **Authorized official:** DR. DAVID RODEN JR. DMD, MD (OWNER/ORAL SURGEON)
- **Authorized official phone:** (205) 870-5834

## Contact information

- **Practice address:** 1771 INDEPENDENCE COURT, SUITE 2, BIRMINGHAM, AL 35216
- **Practice address phone:** (205) 870-5834
- **Mailing address:** 1771 INDEPENDENCE COURT, SUITE 2, BIRMINGHAM, AL 35216
- **Mailing address phone:** (205) 870-5834

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023