Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Gardendale Oral Surgery, P.C.

Q: What is the NPI number for Gardendale Oral Surgery, P.C.?

The NPI for Gardendale Oral Surgery, P.C. is 1336632561, a Type 2 (organization) record in the CMS NPPES registry.

Oral and Maxillofacial Surgery (Dentist) in Gardendale, AL · enumerated 2018 · authorized official Justin Lackey, Front Office.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336632561

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Registry record

Entity type Organization (Type 2)

Legal business name Gardendale Oral Surgery, P.C.

Practice address 919 Sharit Ave Ste 201, Gardendale, AL, 35071

Phone (205) 631-4004

Fax (205) 631-4007

Enumeration date Jun 12, 2018

Last updated in NPPES Jul 5, 2018

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Justin Lackey

Title Front Office

Phone (256) 595-2131

Other identifiers

Identifier	Type	State	Issuer
216971	Medicaid	AL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Gardendale Oral Surgery, P.C.?

NPPES lists Justin Lackey (Front Office) as the authorized official for this organization.

What is the NPI number for Gardendale Oral Surgery, P.C.?

The NPI for Gardendale Oral Surgery, P.C. is 1336632561, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-05.