| Southern Smiles Dental Group Llc | |
|
2001 Alexander Dr Dothan AL 36301-3003 | |
| (334) 794-0348 | |
| Not Available |
| Full Name | Southern Smiles Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2001 Alexander Dr, Dothan, Alabama |
| Authorized Official Name and Position | Carl Haynie (OWNER) |
| Authorized Official Contact | 3346617671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Dental Group Llc 302 Royal Pkwy Dothan AL 36305-6944 Ph: (334) 661-7671 | Southern Smiles Dental Group Llc 2001 Alexander Dr Dothan AL 36301-3003 Ph: (334) 794-0348 |
| NPI Number | 1780385021 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780385021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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