Organization · Type 2 NPI

Southeastern-Oms, LLC

Oral and Maxillofacial Surgery (Dentist) · Dothan, AL

NPI number 1609615871 Active

Practice location

216 Healthwest Dr
Dothan, AL 36303-1942

Fax (334) 712-0202

Other practice locations

  • 813 E Lee St, Enterprise, AL 36330-2072 · (334) 792-2880

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

5 other providers at this address

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About NPI 1609615871

Southeastern-Oms, LLC's National Provider Identifier is 1609615871, issued on May 20, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dothan, AL. The record was last updated on May 20, 2024.