Organization
ORAL AND MAXILLOFACIAL SURGERY OF EAST AL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GRADY DDS (PRESIDENT)
(334) 749-3436
Entity
Organization
Contact information
Practice address
121 N 20TH ST STE 20B, OPELIKA, AL 36801-5456
(334) 749-3436
(334) 749-3223
Mailing address
121 N 20TH ST STE 20B, OPELIKA, AL 36801-5456
(334) 749-3436
(334) 749-3223
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2956CS
AL
Other
Enumeration date
08/25/2006
Last updated
10/07/2016
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