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NPI Code Detail

MEDICARE: DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORPORATION

MEDICARE: DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORPORATION
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
11223S0112XOral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number : 1164231221
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORPORATION
Provider Business Mailing Address
First Line : 813 SHADES CREEK PKWY STE 205
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 113 PROFESSIONAL DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5331
Country : US
Telephone Number : 337-541-2260
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND SECRETARY
Name : DAVID ASHLEY
Credential : MD, DMD
Telephone Number : 205-870-1009
Provider Enumeration Date : 01/03/2025
Last Update Date : 01/28/2026

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