Organization
SHELBY ORAL FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA L MILLER DMD, MD (OWNER/PROVIDER)
(205) 789-5075
Entity
Organization
Contact information
Practice address
1 INVERNESS CENTER PKWY, SUITE 200, BIRMINGHAM, AL 35242-4817
(205) 789-5075
(205) 558-5775
Mailing address
1 INVERNESS CENTER PKWY, SUITE 200, BIRMINGHAM, AL 35242-4817
(205) 789-5075
(205) 558-5775
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5364
AL
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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