EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.
NPI 1568985349
Clinic/Center - Oral and Maxillofacial Surgery in Fairhope, AL

NPI Status: Active since July 24, 2017

Contact Information

24172 4TH STREET
FAIRHOPE, AL
ZIP 36532
Phone: (251) 333-1700
Fax: (251) 333-1701

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • Accepts Insurance
  • CLIA Number: 01D2028492
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-16-2027

About EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.

This page provides the complete NPI Profile along with additional information for Eastern Shore Oral, Facial And Implant Surgery Center, P.c., a provider established in Fairhope, Alabama operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1568985349 assigned on July 2017. The practitioner's primary taxonomy code is 261QS0112X with license number 6357 (AL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Richard Cordero Dmd, Md (Owner/ Surgeon)

NPI
1568985349
Provider Name
EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.
Entity Type
Organization
Location Address
24172 4TH STREET FAIRHOPE, AL 36532
Location Phone
(251) 333-1700
Location Fax
(251) 333-1701
Mailing Address
24172 4TH STREET FAIRHOPE, AL 36532
Mailing Phone
(251) 333-1700
Mailing Fax
(251) 333-1701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
License No.
6357
License State
AL
Taxonomy Description
An oral and maxillofacial surgery clinic or center 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD CORDERO DMD, MD

Authorized Official Title
OWNER/ SURGEON
Authorized Official Phone
(251) 333-1700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2028492
Facility Type
Physician Office
Certificate Effective Date
August 17, 2025
Certificate Expiration Date
August 16, 2027
Laboratory Director
ROBERT E. MCALISTER JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eastern Shore Oral, Facial And Implant Surgery Center, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568985349, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 8 + 8 + 1 + 0 + 3 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568985349.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568985349, enumerated as an "organization" on July 24, 2017.

The provider is located at 24172 4TH STREET FAIRHOPE, AL 36532 and the phone number is (251) 333-1700.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.