SOUTHERN PERIODONTICS, PC
NPI 1922521350
Dentist - Periodontics in Gadsden, AL

Active since July 18, 2017
300 MEDICAL CENTER DR STE 502, GADSDEN, AL 35903(256) 467-3638 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Jul 28, 2017, Jul 18, 2017 (3 updates tracked since 2017).

About Southern Periodontics, Pc NPPES

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

SOUTHERN PERIODONTICS, PC (NPI 1922521350), doing business as Southern Periodontics, is a healthcare organization registered as a periodontics in Gadsden, Alabama and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Birmingham and lists Coty Hulgan, President, as its authorized official.

NPPES Registry Identity

NPI1922521350
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSOUTHERN PERIODONTICS, PC
Location Address300 MEDICAL CENTER DR STE 502Gadsden, AL 35903-1159
Mailing Address300 Medical Center Dr Ste 502Gadsden, AL 35903-1159 · (256) 467-3638
Organization SubpartNo
Authorized OfficialCoty HulganPresident · (256) 467-3638
Enumeration DateJuly 18, 2017
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1922521350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in AL · 6124
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
300 MEDICAL CENTER DR STE 502, Gadsden, AL 35903

Other Names 1

Doing Business AsSouthern Periodontics

Secondary Practice Location 1

Location 11830 14th Ave SBirmingham, AL 35205-4969 · Phone (205) 933-5511 · Fax (205) 939-0150

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

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 Periodontics, PC's NPI number?

The NPI number for Southern Periodontics, PC is 1922521350. It was assigned to this organization in the NPPES registry on July 18, 2017. The provider is doing business as Southern Periodontics.

Where is Southern Periodontics, PC located?

Southern Periodontics, PC is located at 300 Medical Center Dr Ste 502, Gadsden, AL 35903. The listed phone number is (256) 467-3638.

What is Southern Periodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Southern Periodontics, PC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.