Gardendale Oral Surgery, P.c.
Oral and Maxillofacial Dental Clinic
919 Sharit Ave Ste 201, Gardendale
Alabama, 35071
205-631-4004 205-631-4007
Maps & DirectionsGardendale Oral Surgery, P.c. is a Oral and Maxillofacial Dental Clinic in Gardendale, Alabama. It is located at 919 Sharit Ave Ste 201, Gardendale, AL and its contact number is 205-631-4004. The authorized person for Gardendale Oral Surgery, P.c. is Justin D Lackey
who is Front Office of the clinic and their contact number is 256-595-2131.
Gardendale Oral Surgery, P.c. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Gardendale Oral Surgery, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Gardendale Oral Surgery, P.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 919 Sharit Ave Ste 201, Gardendale,
Alabama, 35071 |
| Phone: | 205-631-4004 |
| Fax: | 205-631-4007 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Justin D Lackey |
| Position: | Front Office |
| Contact Number: | 256-595-2131 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gardendale Oral Surgery, P.c. clinic are as mentioned below.
| NPI Number: | 1336632561 |
| NPI Enumeration Date: | 12 Jun, 2018 |
| NPI Last Update On: | 05 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gardendale Oral Surgery, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 216971 | Medicaid | Alabama | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Gardendale Oral Surgery, P.c.
919 Sharit Ave Ste 201,
Gardendale, Alabama |
| Zip: | 35071-5008 |
| Phone Number: | 205-631-4004 |
| Fax Number: | 205-631-4007 |
Patients can reach Gardendale Oral Surgery, P.c. at
919 Sharit Ave Ste 201, Gardendale, Alabama or can
call to book an appointment on 205-631-4004.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.