MEDICARE: DAVID HOUSTON ASHLEY MD, DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	6719	LA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	37194	TX
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	9931	IA
4	208D00000X	General Practice Physician	31809	AL
5	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	6238	AL
6	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	0401416869	VA
7	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	16932	MD
8	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	9496	SC
9	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	3909-17	MS

General Provider Information

NPI Number	:	1538459458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HOUSTON ASHLEY MD, DMD

Provider Business Mailing Address
First Line	:	2045 BRKWD MED CTR DR STE 24
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6809
Country	:	US
Telephone Number	:	205-870-1009
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 BRKWD MED CTR DR STE 24
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6809
Country	:	US
Telephone Number	:	205-870-1009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	07/31/2024

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