Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAXILLOFACIAL SURGERY CENTER OF HUNTSVILLE, PLLC
NPI 1972716710
Clinic/Center - Oral and Maxillofacial Surgery in Huntsville, AL

Q: What is Maxillofacial Surgery Center Of Huntsville, PLLC's specialty?

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

Active since May 08, 2007

1107 GLENEAGLES DR SW, HUNTSVILLE, AL 35801(256) 882-3312(256) 882-9472 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Maxillofacial Surgery Center Of Huntsville, Pllc NPPES

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

MAXILLOFACIAL SURGERY CENTER OF HUNTSVILLE, PLLC (NPI 1972716710) is a healthcare organization registered as an oral and maxillofacial surgery in Huntsville, Alabama and active in the NPI registry since May 2007. The organization lists Vincent Perciaccante, Owner, as its authorized official.

NPPES Registry Identity

NPI1972716710

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameMAXILLOFACIAL SURGERY CENTER OF HUNTSVILLE, PLLC

Location Address1107 GLENEAGLES DR SWHuntsville, AL 35801-6405

Mailing Address1107 Gleneagles Dr SwHuntsville, AL 35801-6405 · (256) 882-3312 · Fax (256) 882-9472

Phone(256) 882-3312

Fax(256) 882-9472

Organization SubpartNo

Authorized OfficialVincent PerciaccanteOwner · (256) 882-3312

Enumeration DateMay 8, 2007

Last NPPES UpdateSeptember 30, 2026

NPPES CertifiedSeptember 30, 2026

✔ NPI 1972716710 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

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.

1107 GLENEAGLES DR SW, Huntsville, AL 35801

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Accepted Insurance

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

Maxillofacial Surgery Center Of Huntsville, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maxillofacial Surgery Center Of Huntsville, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leroy Kamelchuk, DDS

Maxillofacial Surgery

NPI 1528101698

1107 GLENEAGLES DR SW
Huntsville, AL 35801

(256) 882-3312

✔ PECOS✔ Accepts MedicareSame address

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 Maxillofacial Surgery Center Of Huntsville, PLLC's NPI number?

The NPI number for Maxillofacial Surgery Center Of Huntsville, PLLC is 1972716710. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Maxillofacial Surgery Center Of Huntsville, PLLC located?

Maxillofacial Surgery Center Of Huntsville, PLLC is located at 1107 Gleneagles Dr SW, Huntsville, AL 35801. The listed phone number is (256) 882-3312.

What is Maxillofacial Surgery Center Of Huntsville, PLLC's specialty?

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

Is Maxillofacial Surgery Center Of Huntsville, PLLC enrolled in Medicare?

Yes. Maxillofacial Surgery Center Of Huntsville, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maxillofacial Surgery Center Of Huntsville, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Maxillofacial Surgery Center Of Huntsville, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maxillofacial Surgery Center Of Huntsville, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and UnitedHealthcare list Maxillofacial Surgery Center Of Huntsville, PLLC 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 Maxillofacial Surgery Center Of Huntsville, PLLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.