SOUTHERN MAGNOLIA DENTAL LLC
NPI 1104717560
Dentist - Dental Public Health in Dothan, AL

Active since July 14, 2025
2660 MONTGOMERY HWY STE 2, DOTHAN, AL 36303(334) 232-0550(334) 232-0488 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Magnolia Dental Llc NPPES

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

SOUTHERN MAGNOLIA DENTAL LLC (NPI 1104717560), doing business as Southern Magnolia Dental, is a healthcare organization registered as a dental public health in Dothan, Alabama and active in the NPI registry since July 2025. The organization lists Brian Pfister, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1104717560
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameSOUTHERN MAGNOLIA DENTAL LLC
Location Address2660 MONTGOMERY HWY STE 2Dothan, AL 36303-2618
Mailing Address2660 Montgomery Hwy Ste 2Dothan, AL 36303-2618 · (334) 232-0550 · Fax (334) 232-0488
Fax(334) 232-0488
Organization SubpartNo
Authorized OfficialBrian PfisterOwner Dentist · (334) 232-0550
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1104717560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
2660 MONTGOMERY HWY STE 2, Dothan, AL 36303

Other Names 1

Doing Business AsSouthern Magnolia Dental

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
2660 MONTGOMERY HWY STE 2
DOTHAN, AL 36303

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 Southern Magnolia Dental LLC's NPI number?

The NPI number for Southern Magnolia Dental LLC is 1104717560. It was assigned to this organization in the NPPES registry on July 14, 2025. The provider is doing business as Southern Magnolia Dental.

Where is Southern Magnolia Dental LLC located?

Southern Magnolia Dental LLC is located at 2660 Montgomery Hwy Ste 2, Dothan, AL 36303. The listed phone number is (334) 232-0550.

What is Southern Magnolia Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

What insurance does Southern Magnolia Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Southern Magnolia Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Magnolia Dental LLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.