OrganizationActive
Wise Omfs
NPI 1952158909 · Oral and Maxillofacial Pathology Dentistry · Prattville, AL
Provider details
- NPI number
- 1952158909
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Veronica Jackson, Revenue Cycle Manager(205) 919-1750
Specialties & taxonomies
Dental Providers
Practice location
711 Kornegay Dr
Prattville, AL 36066-7715
Phone: (334) 285-7111
Approximate (ZIP-level) locationGet directions
Mailing address
711 Kornegay Dr
Prattville, AL 36066-7715
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.