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

Q: What is Eastern Shore Oral, Facial And Implant Surgery Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since July 24, 2017

24172 4TH STREET, FAIRHOPE, AL 36532(251) 333-1700(251) 333-1701 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017 (2 updates tracked since 2017).

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About Eastern Shore Oral, Facial And Implant Surgery Center, P.c. NPPES

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

EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. (NPI 1568985349) is a healthcare organization registered as an oral and maxillofacial surgery in Fairhope, Alabama and active in the NPI registry since July 2017. The organization lists Richard Cordero, Owner/ Surgeon, as its authorized official.

NPPES Registry Identity

NPI1568985349

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameEASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.

Location Address24172 4TH STREETFairhope, AL 36532

Mailing Address24172 4th StreetFairhope, AL 36532 · (251) 333-1700 · Fax (251) 333-1701

Phone(251) 333-1700

Fax(251) 333-1701

Organization SubpartNo

Authorized OfficialRichard CorderoOwner/ Surgeon · (251) 333-1700

Enumeration DateJuly 24, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1568985349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

License✔ Licensed in AL · 6357

Definition

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.

24172 4TH STREET, Fairhope, AL 36532

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Eastern Shore Oral, Facial And Implant Surgery Center, P.C.'s NPI number?

The NPI number for Eastern Shore Oral, Facial And Implant Surgery Center, P.C. is 1568985349. It was assigned to this organization in the NPPES registry on July 24, 2017.

Where is Eastern Shore Oral, Facial And Implant Surgery Center, P.C. located?

Eastern Shore Oral, Facial And Implant Surgery Center, P.C. is located at 24172 4th Street, Fairhope, AL 36532. The listed phone number is (251) 333-1700.

What is Eastern Shore Oral, Facial And Implant Surgery Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Eastern Shore Oral, Facial And Implant Surgery Center, P.C. accept?

Health plans from UnitedHealthcare list Eastern Shore Oral, Facial And Implant Surgery Center, P.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 Eastern Shore Oral, Facial And Implant Surgery Center, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.