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BRYAN T KENDRICKS D.M.D., M.D.
NPI 1477087898
Oral & Maxillofacial Surgery in Dothan, AL

Active since April 12, 2017PECOS Enrolled
ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS, 188 N FOSTER ST SUITE 203, DOTHAN, AL 36303(334) 697-6453(334) 212-8467 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Feb 11, 2019, Jul 27, 2017 and 1 more (4 updates tracked since 2017).

About Bryan T Kendricks D.m.d., M.d. NPPES

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

BRYAN T KENDRICKS D.M.D., M.D. (NPI 1477087898) is an individual oral & maxillofacial surgery provider in Dothan, Alabama, licensed in Alabama (D007143D) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477087898
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameBRYAN T KENDRICKSCredential: D.M.D., M.D.
Location AddressALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS, 188 N FOSTER ST SUITE 203Dothan, AL 36303
Mailing Address188 N Foster St Suite 203Dothan, AL 36303 · (334) 697-6453 · Fax (334) 212-8467
Phone(334) 697-6453
Fax(334) 212-8467
Sole ProprietorYes
Enumeration DateApril 12, 2017
Last NPPES UpdateSeptember 8, 20234 updates tracked since enumeration
✔ NPI 1477087898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in AL · D007143D
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 9978 (KY)
ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS, Dothan, AL 36303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Delta Dental PPO, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan T Kendricks D.m.d., M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Bryan Kendricks's NPI number?

The NPI number for Bryan Kendricks is 1477087898. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Bryan Kendricks located?

Bryan Kendricks practices at Alabama Center For Oral Surgery And Dental Implants 188 N Foster St Suite 203, Dothan, AL 36303. The listed phone number is (334) 697-6453.

What is Bryan Kendricks's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Bryan Kendricks enrolled in Medicare?

Yes. Bryan Kendricks is registered in the Medicare PECOS enrollment system.

What insurance does Bryan Kendricks accept?

Health plans from Blue Cross and Blue Shield of Alabama, Delta Dental PPO and Humana list Bryan Kendricks 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 Bryan Kendricks was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.