ORAL AND MAXILLOFACIAL SURGERY OF EAST AL
NPI 1417064270
Dentist - Oral and Maxillofacial Surgery in Opelika, AL

Active since August 25, 2006
121 N 20TH ST STE 20B, OPELIKA, AL 36801(334) 749-3436(334) 749-3223 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Oral And Maxillofacial Surgery Of East Al NPPES

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

ORAL AND MAXILLOFACIAL SURGERY OF EAST AL (NPI 1417064270) is a healthcare organization registered as an oral and maxillofacial surgery in Opelika, Alabama and active in the NPI registry since August 2006. The organization lists James Grady, President, as its authorized official.

NPPES Registry Identity

NPI1417064270
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND MAXILLOFACIAL SURGERY OF EAST AL
Location Address121 N 20TH ST STE 20BOpelika, AL 36801-5456
Mailing Address121 N 20th St Ste 20bOpelika, AL 36801-5456 · (334) 749-3436 · Fax (334) 749-3223
Fax(334) 749-3223
Organization SubpartNo
Authorized OfficialJames GradyPresident · (334) 749-3436
Enumeration DateAugust 25, 2006
Last NPPES UpdateOctober 7, 2016
NPI 1417064270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AL · 2956CS
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.

121 N 20TH ST STE 20B, Opelika, AL 36801

Other Identifiers 1

Medicare PIND665AL

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
121 N 20TH ST STE 20B
OPELIKA, AL 36801
Clinical Nurse Specialist
121 N 20TH ST STE 20B
OPELIKA, AL 36801

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 And Maxillofacial Surgery Of East Al's NPI number?

The NPI number for Oral And Maxillofacial Surgery Of East Al is 1417064270. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Oral And Maxillofacial Surgery Of East Al located?

Oral And Maxillofacial Surgery Of East Al is located at 121 N 20th St Ste 20B, Opelika, AL 36801. The listed phone number is (334) 749-3436.

What is Oral And Maxillofacial Surgery Of East Al's specialty?

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

When was this NPI record last updated?

The NPPES record for Oral And Maxillofacial Surgery Of East Al was last updated on October 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.