OrganizationActive
Eastern Shore Oral, Facial and Implant Surgery Center, P.C.
NPI 1568985349 · Oral and Maxillofacial Surgery Clinic/Center · Fairhope, AL
Provider details
- NPI number
- 1568985349
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Cordero, Owner/ Surgeon(251) 333-1700
- License
- 6357 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
24172 4th Street
Fairhope, AL 36532
Phone: (251) 333-1700
Fax: (251) 333-1701
Approximate (ZIP-level) locationGet directions
Mailing address
24172 4th Street
Fairhope, AL 36532
Registry dates
- Enumerated
- 2017-07-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.