| Southeastern Oral-maxillofacial And Cosmetic Surgery Center | |
|
216 Healthwest Dr Dothan AL 36303-1942 | |
| (334) 792-2880 | |
| (334) 792-9336 |
| Full Name | Southeastern Oral-maxillofacial And Cosmetic Surgery Center |
|---|---|
| Speciality | Dentist |
| Location | 216 Healthwest Dr, Dothan, Alabama |
| Authorized Official Name and Position | Karen Bradshaw (ADMINISTRATOR) |
| Authorized Official Contact | 3347922880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oral-maxillofacial And Cosmetic Surgery Center 216 Healthwest Dr Dothan AL 36303-1942 Ph: (334) 792-2880 | Southeastern Oral-maxillofacial And Cosmetic Surgery Center 216 Healthwest Dr Dothan AL 36303-1942 Ph: (334) 792-2880 |
| NPI Number | 1275755860 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042283863 |
|---|---|
| Medicare Enrollment ID | O20040818001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275755860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Clinton Wilkinson Evans |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093799009 PECOS PAC ID: 4789657511 Enrollment ID: I20111103000298 |
| Provider Name | Gregory Charles Bess |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1316921745 PECOS PAC ID: 7416920244 Enrollment ID: I20111109000152 |
| Provider Name | David S Falconer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275794547 PECOS PAC ID: 4183860976 Enrollment ID: I20140924000999 |
Dothan Endodontic Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Healthwest Dr Ste 1, Dothan, AL 36303 Phone: 334-793-7687 | |
Metro Oral & Maxillofacial Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Metro Dr, Dothan, AL 36303 Phone: 334-699-5555 | |
University Of Alabama At Birmingham Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2826 Ross Clark Cir Ste 305, Dothan, AL 36301 Phone: 334-305-3290 Fax: 334-305-3310 | |
Galloway Dental Implants And Periodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Medical Dr, Dothan, AL 36303 Phone: 334-792-7888 Fax: 334-792-8717 | |
Al Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Montgomery Highway, Dothan, AL 36303 Phone: 334-803-8700 | |
Hashim J. Hassan,d.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 W Main St, Ste.#1, Dothan, AL 36301 Phone: 334-793-9885 Fax: 334-678-7715 | |
Family Dental Care Of Dothan, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Professional Ln, Dothan, AL 36303 Phone: 334-792-5711 Fax: 334-678-8157 |