DOTHAN SMILES YOUTH DENTISTRY, PC
NPI 1548487531
Dentist - General Practice in Dothan, AL

Active since April 19, 2007
5412 MONTGOMERY HWY, SUITE 8, DOTHAN, AL 36303(334) 983-1730(334) 983-1725 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dothan Smiles Youth Dentistry, Pc NPPES

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

DOTHAN SMILES YOUTH DENTISTRY, PC (NPI 1548487531) is a healthcare organization registered as a general practice in Dothan, Alabama and active in the NPI registry since April 2007. The organization lists Jenell Stump, Manager - Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1548487531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOTHAN SMILES YOUTH DENTISTRY, PC
Location Address5412 MONTGOMERY HWY, SUITE 8Dothan, AL 36303-1657
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Fax(334) 983-1725
Organization SubpartNo
Authorized OfficialJenell StumpManager - Licensing & Credentialing · (615) 750-0343
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 9, 2014
NPI 1548487531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5412 MONTGOMERY HWY, Dothan, AL 36303

Other Identifiers 1

Medicaid529932450AL

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 4

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

Dentist (General Practice)
5412 MONTGOMERY HWY, SUITE 3-8
DOTHAN, AL 36303
Dentist (General Practice)
5412 MONTGOMERY HWY, SUITE 8
DOTHAN, AL 36303
Dentist (General Practice)
5412 MONTGOMERY HWY, SUITE 8
DOTHAN, AL 36303
Dentist
5412 MONTGOMERY HWY
DOTHAN, AL 36303

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 Dothan Smiles Youth Dentistry, PC's NPI number?

The NPI number for Dothan Smiles Youth Dentistry, PC is 1548487531. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Dothan Smiles Youth Dentistry, PC located?

Dothan Smiles Youth Dentistry, PC is located at 5412 Montgomery Hwy Suite 8, Dothan, AL 36303. The listed phone number is (334) 983-1730.

What is Dothan Smiles Youth Dentistry, 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 Dothan Smiles Youth Dentistry, PC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.