SOUTHEASTERN-OMS, LLC
NPI 1609615871
Dentist - Oral and Maxillofacial Surgery in Dothan, AL

Q: What is Southeastern-Oms, LLC's NPI number?

The NPI number for Southeastern-Oms, LLC is 1609615871. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as Southeastern Oral - Maxillofacial & Facial Cosmetic Surgery Center.

Q: What is Southeastern-Oms, LLC's specialty?

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

Active since May 20, 2024

216 HEALTHWEST DR, DOTHAN, AL 36303(334) 792-2880(334) 712-0202 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southeastern-oms, Llc NPPES

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

SOUTHEASTERN-OMS, LLC (NPI 1609615871), doing business as Southeastern Oral - Maxillofacial & Facial Cosmetic Surgery Center, is a healthcare organization registered as an oral and maxillofacial surgery in Dothan, Alabama and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Enterprise and lists Gregory C Bess, Oral Surgeon/owner, as its authorized official.

NPPES Registry Identity

NPI1609615871

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHEASTERN-OMS, LLC

Location Address216 HEALTHWEST DRDothan, AL 36303-1942

Mailing Address216 Healthwest DrDothan, AL 36303-1942 · (334) 792-2880 · Fax (334) 712-0202

Phone(334) 792-2880

Fax(334) 712-0202

Organization SubpartNo

Authorized OfficialGregory C BessOral Surgeon/owner · (334) 792-2880

Enumeration DateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1609615871 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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Other Names 1

Doing Business AsSoutheastern Oral - Maxillofacial & Facial Cosmetic Surgery Center

Secondary Practice Location 1

Location 1813 E Lee StEnterprise, AL 36330-2072 · Phone (334) 792-2880 · Fax (334) 712-0202

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern-oms, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southeastern-Oms, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Gregory Bess, M.D., D.M.D.

Oral Surgery

NPI 1316921745

216 HEALTHWEST DR
Dothan, AL 36303

(334) 792-2880

✔ PECOS✔ Accepts MedicareSame address

David Falconer, D.D.S.

Oral Surgery

NPI 1275794547

216 HEALTHWEST DR
Dothan, AL 36303

(334) 792-2880

✔ PECOS✔ Accepts MedicareSame address

Clinton Evans, M.D., D.M.D.

Oral Surgery

NPI 1093799009

216 HEALTHWEST DR
Dothan, AL 36303

(334) 792-1158

✔ PECOS✔ Accepts MedicareSame address

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 Southeastern-Oms, LLC's NPI number?

The NPI number for Southeastern-Oms, LLC is 1609615871. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as Southeastern Oral - Maxillofacial & Facial Cosmetic Surgery Center.

Where is Southeastern-Oms, LLC located?

Southeastern-Oms, LLC is located at 216 Healthwest Dr, Dothan, AL 36303. The listed phone number is (334) 792-2880.

What is Southeastern-Oms, LLC's specialty?

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

Is Southeastern-Oms, LLC enrolled in Medicare?

Yes. Southeastern-Oms, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern-Oms, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to Southeastern-Oms, LLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeastern-Oms, LLC was last updated on May 20, 2024. 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.