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NPI Code Detail

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

MEDICARE: DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP
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 : 1285506790
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP
Provider Business Mailing Address
First Line : 511 BROOKWOOD BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-6801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 ARKANSAS BLVD
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-1904
Country : US
Telephone Number : 337-541-2260
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID HOUSTON ASHLEY
Credential : MD, DMD
Telephone Number : 501-208-1593
Provider Enumeration Date : 09/23/2025
Last Update Date : 01/23/2026

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Directions to “DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP ” Practice Location

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