Organization
ALABAMA SURGICAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMI ADAM NIZAM II DMD, MD (MANAGER)
(334) 271-2002
Entity
Organization
Contact information
Practice address
4590 WOODMERE BLVD, MONTGOMERY, AL 36106-2918
(334) 271-4523
(334) 271-2002
Mailing address
4590 WOODMERE BLVD, MONTGOMERY, AL 36106-2918
(334) 271-2002
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/30/2018
Last updated
12/12/2018
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