Gardendale Oral Surgery, P.C.
NPI 1336632561 · Oral and Maxillofacial Surgery (Dentist) · Gardendale, AL
Gardendale Oral Surgery, P.C. is a Oral and Maxillofacial Surgery (Dentist) organization in Gardendale, AL (NPI 1336632561).
Provider details
- NPI number
- 1336632561
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Justin Lackey, Front Office(256) 595-2131
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2018-07-05
Frequently asked questions
- What is Gardendale Oral Surgery, P.C.'s NPI number?
- Gardendale Oral Surgery, P.C.'s National Provider Identifier (NPI) is 1336632561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gardendale Oral Surgery, P.C.?
- Gardendale Oral Surgery, P.C. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Gardendale Oral Surgery, P.C. located?
- Gardendale Oral Surgery, P.C.'s practice location on file with NPPES is 919 Sharit Ave Ste 201, Gardendale, AL 35071.
- What is Gardendale Oral Surgery, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Gardendale Oral Surgery, P.C. is (205) 631-4004.
- Who is the authorized official for Gardendale Oral Surgery, P.C.?
- The authorized official listed on Gardendale Oral Surgery, P.C.'s NPPES record is Justin Lackey, Front Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gardendale Oral Surgery, P.C.'s NPI active?
- Yes — Gardendale Oral Surgery, P.C.'s NPI (1336632561) is active in the NPPES registry as of the last update on 2018-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.