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FAMILY DENTAL CARE OF DOTHAN, PC
NPI 1124103288
Dentist - General Practice in Dothan, AL

Active since October 26, 2006
107 PROFESSIONAL LN, DOTHAN, AL 36303(334) 792-5711(334) 678-8157 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Dental Care Of Dothan, Pc NPPES

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

FAMILY DENTAL CARE OF DOTHAN, PC (NPI 1124103288) is a healthcare organization registered as a general practice in Dothan, Alabama and active in the NPI registry since October 2006. The organization lists Keith A Blackmon, Owner, as its authorized official.

NPPES Registry Identity

NPI1124103288
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY DENTAL CARE OF DOTHAN, PC
Location Address107 PROFESSIONAL LNDothan, AL 36303-3875
Mailing Address107 Professional LnDothan, AL 36303-3875 · (334) 792-5711 · Fax (334) 678-8157
Phone(334) 792-5711
Fax(334) 678-8157
Organization SubpartNo
Authorized OfficialKeith A BlackmonOwner · (334) 792-5711
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 18, 2011
✔ NPI 1124103288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AL · 4491
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
107 PROFESSIONAL LN, Dothan, AL 36303
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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 3

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

CALLIE GILBERT-HYMA DMD
Dentist
107 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 596-9799
DR. KEITH A. BLACKMON D.D.S.
Dentist (General Practice)
107 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 792-5711
DR. BRANDON SNELL D.M.D.
Dentist (General Practice)
107 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 792-5711

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 Family Dental Care Of Dothan, PC's NPI number?

The NPI number for Family Dental Care Of Dothan, PC is 1124103288. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Family Dental Care Of Dothan, PC located?

Family Dental Care Of Dothan, PC is located at 107 Professional Ln, Dothan, AL 36303. The listed phone number is (334) 792-5711.

What is Family Dental Care Of Dothan, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Family Dental Care Of Dothan, PC was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.