SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER
NPI 1275755860
Dentist - Oral and Maxillofacial Surgery in Dothan, AL

Q: What is Southeastern Oral-Maxillofacial And Cosmetic Surgery Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 03, 2007

216 HEALTHWEST DR, DOTHAN, AL 36303(334) 792-2880(334) 792-9336 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southeastern Oral-maxillofacial And Cosmetic Surgery Center NPPES

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

SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER (NPI 1275755860) is a healthcare organization registered as an oral and maxillofacial surgery in Dothan, Alabama and active in the NPI registry since May 2007. The organization lists Karen Bradshaw, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275755860

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER

Location Address216 HEALTHWEST DRDothan, AL 36303-1942

Mailing Address216 Healthwest DrDothan, AL 36303-1942 · (334) 792-2880 · Fax (334) 792-9336

Phone(334) 792-2880

Fax(334) 792-9336

Organization SubpartNo

Authorized OfficialKaren BradshawAdministrator · (334) 792-2880

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1275755860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

216 HEALTHWEST DR, 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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. CLINTON WILKINSON EVANS M.D., D.M.D.

Dentist (Oral and Maxillofacial Surgery)