ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.
NPI 1083662290
Dentist - Oral and Maxillofacial Surgery in Sheffield, AL

Q: What is Oral & Facial Surgery Of The Shoals, L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 04, 2006

398 ASHE BLVD, SHEFFIELD, AL 35660(256) 383-1499(256) 383-9135 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Oral & Facial Surgery Of The Shoals, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C. (NPI 1083662290) is a healthcare organization registered as an oral and maxillofacial surgery in Sheffield, Alabama and active in the NPI registry since May 2006. The organization lists Connie Gargis Mcilwain, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083662290

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.

Location Address398 ASHE BLVDSheffield, AL 35660-1729

Mailing Address398 Ashe BlvdSheffield, AL 35660-1729 · (256) 383-1499 · Fax (256) 383-9135

Phone(256) 383-1499

Fax(256) 383-9135

Organization SubpartNo

Authorized OfficialConnie Gargis McilwainOffice Manager · (256) 383-1499

Enumeration DateMay 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1083662290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in 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.

398 ASHE BLVD, Sheffield, AL 35660

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral & Facial Surgery Of The Shoals, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oral & Facial Surgery Of The Shoals, L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jonathan Frederick, MD

Oral Surgery

NPI 1346397239

398 ASHE BLVD
Sheffield, AL 35660

(256) 383-1499

✔ PECOSSame address

Daniel Morris, D.M.D, M.D.

Oral Surgery

NPI 1083751481

154 TITAN DR
Florence, AL 35630

(256) 712-5096

✔ PECOS6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral & Facial Surgery Of The Shoals, L.L.C.'s NPI number?

The NPI number for Oral & Facial Surgery Of The Shoals, L.L.C. is 1083662290. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Oral & Facial Surgery Of The Shoals, L.L.C. located?

Oral & Facial Surgery Of The Shoals, L.L.C. is located at 398 Ashe Blvd, Sheffield, AL 35660. The listed phone number is (256) 383-1499.

What is Oral & Facial Surgery Of The Shoals, L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oral & Facial Surgery Of The Shoals, L.L.C. enrolled in Medicare?

Yes. Oral & Facial Surgery Of The Shoals, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral & Facial Surgery Of The Shoals, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Oral & Facial Surgery Of The Shoals, L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oral & Facial Surgery Of The Shoals, L.L.C. accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Oral & Facial Surgery Of The Shoals, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral & Facial Surgery Of The Shoals, L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.