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GALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C.
NPI 1053823005
Dentist - Periodontics in Dothan, AL

Active since October 31, 2017
102 MEDICAL DR, DOTHAN, AL 36303(334) 792-7888(334) 792-8717 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2021, Oct 31, 2017 (2 updates tracked since 2017).

About Galloway Dental Implants And Periodontics, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C. (NPI 1053823005), doing business as Lewis G Humphreys, Jr, is a healthcare organization registered as a periodontics in Dothan, Alabama and active in the NPI registry since October 2017. The organization lists Jasmine M. Rodriguez, Admin Asst., as its authorized official.

NPPES Registry Identity

NPI1053823005
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C.
Location Address102 MEDICAL DRDothan, AL 36303-6902
Mailing Address102 Medical DrDothan, AL 36303-6902 · (334) 792-7888 · Fax (334) 792-8717
Phone(334) 792-7888
Fax(334) 792-8717
Organization SubpartNo
Authorized OfficialJasmine M. RodriguezAdmin Asst. · (334) 792-7888
Enumeration DateOctober 31, 2017
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1053823005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AL · 3595
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
102 MEDICAL DR, Dothan, AL 36303
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Other Names 1

Former Legal Business NameLewis G Humphreys, Jr

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEWIS GILBERT HUMPHREYS JR. D.M.D.
Dentist (Periodontics)
102 MEDICAL DR
DOTHAN, AL 36303
Houston County (334) 792-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Galloway Dental Implants And Periodontics, P.C.'s NPI number?

The NPI number for Galloway Dental Implants And Periodontics, P.C. is 1053823005. It was assigned to this organization in the NPPES registry on October 31, 2017. The provider was formerly known as Lewis G Humphreys, Jr.

Where is Galloway Dental Implants And Periodontics, P.C. located?

Galloway Dental Implants And Periodontics, P.C. is located at 102 Medical Dr, Dothan, AL 36303. The listed phone number is (334) 792-7888.

What is Galloway Dental Implants And Periodontics, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Galloway Dental Implants And Periodontics, P.C. was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.