Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Shore Oral, Facial and Implant Surgery Center, PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1568985349

Eastern Shore Oral, Facial and Implant Surgery Center, PC is an Oral and Maxillofacial Surgery Clinic/Center in Fairhope, Alabama. Licensed in Alabama. Registered with an NPI since 2017.

Licensed in
AL
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

24172 4th St
Fairhope, AL 36532
Phone: (251) 333-1700
Fax: (251) 333-1701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 6357 (AL)

Record details

NPI number1568985349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Cordero — Owner/ Surgeon · (251) 333-1700
NPI enumeratedJuly 24, 2017
Last updated in NPPESJuly 21, 2022
Mailing address24172 4th Street, Fairhope, AL 36532