Huntsville Oral and Maxillofacial Surgery Associates, PC
NPI 1386740140ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Huntsville, AL
Dentist, Oral and Maxillofacial Surgery in Huntsville, Alabama, registered in NPPES in September 2006. The authorized official on file is Philip Brent Elledge, DMD, Owner.
Overview
| NPI | 1386740140 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2006 |
| Last updated in NPPES | Aug 15, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 5313 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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