SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
NPI 1336973999
Clinic/Center - Dental in Mobile, AL

Q: What is Southern Roots Family And Cosmetic Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since August 27, 2024

6154 OMNI PARK DR, MOBILE, AL 36609(251) 414-5142 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Roots Family And Cosmetic Dentistry NPPES

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

SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY (NPI 1336973999) is a healthcare organization registered as a dental in Mobile, Alabama and active in the NPI registry since August 2024. The organization lists Walter P Vickers, Owner, as its authorized official.

NPPES Registry Identity

NPI1336973999

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY

Location Address6154 OMNI PARK DRMobile, AL 36609-5195

Mailing Address6154 Omni Park DrMobile, AL 36609-5195 · (251) 414-5142

Phone(251) 414-5142

Organization SubpartNo

Authorized OfficialWalter P VickersOwner · (251) 342-0380

Enumeration DateAugust 27, 2024

Last NPPES UpdateSeptember 18, 2024

NPPES CertifiedSeptember 18, 2024

✔ NPI 1336973999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

6154 OMNI PARK DR, Mobile, AL 36609

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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

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

ELIZABETH PALMER HILL DMD PC

Clinic/Center (Dental)

6154 OMNI PARK DR
MOBILE, AL 36609

Mobile County (251) 414-5142

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 Roots Family And Cosmetic Dentistry's NPI number?

The NPI number for Southern Roots Family And Cosmetic Dentistry is 1336973999. It was assigned to this organization in the NPPES registry on August 27, 2024.

Where is Southern Roots Family And Cosmetic Dentistry located?

Southern Roots Family And Cosmetic Dentistry is located at 6154 Omni Park Dr, Mobile, AL 36609. The listed phone number is (251) 414-5142.

What is Southern Roots Family And Cosmetic Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Southern Roots Family And Cosmetic Dentistry accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Southern Roots Family And Cosmetic Dentistry 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 Roots Family And Cosmetic Dentistry was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.