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General NPI Number Information
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NPI Number | 1588524755
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Entity Type | Organization
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Legal Business Name | DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2310 4TH ST STE B
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City | MERIDIAN
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State | MS
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Zip | 39301-5819
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Country | US
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Telephone | 936-564-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 511 BROOKWOOD BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6801
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DAVID HOUSTON ASHLEY
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Credential | MD, DMD
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Telephone | 501-208-1593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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