ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS
NPI 1417633520
Clinic/Center - Oral and Maxillofacial Surgery in Dothan, AL
About Alabama Center For Oral Surgery And Dental Implants NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS (NPI 1417633520) is a healthcare organization registered as an oral and maxillofacial surgery in Dothan, Alabama and active in the NPI registry since June 2023. The organization lists Donna Marie Davidson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alabama Center For Oral Surgery And Dental Implants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Alabama Center For Oral Surgery And Dental Implants, which bills Medicare for the services this clinician delivers.
Clinician (1)
Dothan, AL 36303
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alabama Center For Oral Surgery And Dental Implants's NPI number?
The NPI number for Alabama Center For Oral Surgery And Dental Implants is 1417633520. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is also known as Barrett Tolley.
Where is Alabama Center For Oral Surgery And Dental Implants located?
Alabama Center For Oral Surgery And Dental Implants is located at 188 N Foster St Ste 203, Dothan, AL 36303. The listed phone number is (334) 697-6453.
What is Alabama Center For Oral Surgery And Dental Implants's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.
Is Alabama Center For Oral Surgery And Dental Implants enrolled in Medicare?
Yes. Alabama Center For Oral Surgery And Dental Implants is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alabama Center For Oral Surgery And Dental Implants?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Alabama Center For Oral Surgery And Dental Implants. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Alabama Center For Oral Surgery And Dental Implants was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alabama Center For Oral Surgery And Dental Implants · NPI 1417633520
Oral and Maxillofacial Surgery organization in Dothan, Alabama. Organization record, active in the CMS NPPES registry since June 23, 2023.
## Identity
- **NPI:** 1417633520 (Entity type: Organization)
- **Enumerated:** June 23, 2023
- **Primary specialty:** Clinic/Center - Oral and Maxillofacial Surgery · taxonomy 261QS0112X
- **Also known as:** Barrett Tolley (Other Name)
- **Organization subpart:** No
- **Authorized official:** Donna Davidson, OFFICE MANAGER
## Practice location
- **Address:** 188 N FOSTER ST STE 203, Dothan, AL 36303-4568
- **Phone:** (334) 697-6453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417633520) · Data from the CMS NPPES public registry.