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

Gardendale Oral Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1336632561

Gardendale Oral Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Gardendale, Alabama. Registered with an NPI since 2018.

In the registry since
2018
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

919 Sharit Ave Ste 201
Gardendale, AL 35071
Phone: (205) 631-4004
Fax: (205) 631-4007
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1336632561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Lackey — Front Office · (256) 595-2131
NPI enumeratedJune 12, 2018
Last updated in NPPESJuly 5, 2018
Mailing address919 Sharit Ave Ste 201, Gardendale, AL 35071-5008