EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. is an oral and maxillofacial surgery clinic center in Fairhope, AL. The provider is 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. EASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C. NPI is 1568985349. The provider is registered as an organization entity type.
The provider's business location address is:
24172 4TH STREET
FAIRHOPE, AL
ZIP 36532
Phone: (251) 333-1700
Fax: (251) 333-1701
The provider's authorized official is Richard Cordero .
The authorized official title is Owner/ Surgeon and has the following contact phone number (251) 333-1700.
The CLIA number assigned to this NPI record is 01D2028492 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/24/2017 and was last updated on 7/21/2022.