EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. – NPI #1568985349
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Health Care Provider Taxonomy Code for Clinic/Center

EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. is an AHC clinic located in FAIRHOPE, AL. NPPES has assigned the NPI number 1568985349 to EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. on July 24, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. below.

NPI Profile for
EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.

NPI Number
1568985349
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.
Primary location
24172 4TH STREET
FAIRHOPE, AL 36532
Phone: (251) 333-1700 Fax: (251) 333-1701
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD CORDERO
OWNER/ SURGEON
Phone: (251) 333-1700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)		 AL 6357

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.