Organization
MITCHELL ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ANTHONY MITCHELL DMD, MD (OWNER)
(205) 980-9000
Entity
Organization
Contact information
Practice address
5511 HIGHWAY 280, SUITE 118, BIRMINGHAM, AL 35242-6585
(205) 980-9000
(205) 980-1399
Mailing address
5511 HIGHWAY 280, SUITE 118, BIRMINGHAM, AL 35242-6585
(205) 980-9000
(205) 980-1399
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
03787
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
17041
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06576
BCBS
AL
Enumeration date
10/11/2006
Last updated
09/11/2025
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