Organization
ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE GARGIS MCILWAIN (OFFICE MANAGER)
(256) 383-1499
Entity
Organization
Contact information
Practice address
398 ASHE BLVD, SHEFFIELD, AL 35660-1729
(256) 383-1499
(256) 383-9135
Mailing address
398 ASHE BLVD, SHEFFIELD, AL 35660-1729
(256) 383-1499
(256) 383-9135
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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