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

Maxillofacial Surgery Center of Huntsville, Inc

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1972716710

Maxillofacial Surgery Center of Huntsville, Inc is an Oral and Maxillofacial Surgery Clinic/Center in Huntsville, Alabama. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1107 Gleneagles Dr SW
Huntsville, AL 35801-6405
Phone: (256) 882-3312
Fax: (256) 882-9472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1972716710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leroy Kamelchuk — Dds Md · (256) 882-3312
NPI enumeratedMay 8, 2007
Last updated in NPPESJanuary 29, 2008
Mailing address1107 Gleneagles Dr Sw, Huntsville, AL 35801-6405

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