DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER; NPI #1831360601

Contact Information

DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER

2023 DANVILLE PARK DR SW
DECATUR, AL 35603-1833

Phone: 256-355-8224
Fax: 256-355-8819
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER

NPI # 1831360601

LBN Legal business name DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER

Authorized official WILLIAM LITTLEJOHN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/19/2008

Last updated 03/19/2008 - About 18 years ago

Identifiers

AL	Medicaid	529700210
AL	Other	000026618	MEDICARE PROVIDER NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER

Reviews for DECATUR MAXILLOFACIAL & COSMETIC SURGERY CENTER