Organization
OFS-EA, LLC
Active
Other names
OFS East Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H. FUQUA JR. DMD, MD (OWNER/ORAL SURGEON)
(334) 749-3436
Entity
Organization
Contact information
Practice address
2971 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 749-3436
Mailing address
2971 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 749-3436
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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