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Organization
ALABAMA SURGICAL ARTS, LLC
Active
Organization
ALABAMA SURGICAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMI ADAM NIZAM II DMD, MD (MANAGER)
(334) 271-2002
Entity
Organization
Contact information
Practice address
4590 WOODMERE BLVD, MONTGOMERY, AL 36106-2918
(334) 271-4523
(334) 271-2002
Mailing address
4590 WOODMERE BLVD, MONTGOMERY, AL 36106-2918
(334) 271-2002
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/30/2018
Last updated
12/12/2018
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