OrganizationActive
M Shane Stevenson DMD, MD Oral and Maxillofacial Surgery, PC
NPI 1700975554 · Oral and Maxillofacial Surgery (Dentist) · Decatur, AL
Provider details
- NPI number
- 1700975554
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Stevenson, President(256) 355-1242
- License
- 5063 (AL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1401 Stratford Rd Se
Decatur, AL 35601-6022
Phone: (256) 355-1242
Fax: (256) 355-1259
Street-level locationGet directions
Mailing address
1401 Stratford Rd Se
Decatur, AL 35601-6022
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2008-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.