Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Oral-Maxillofacial and Cosmetic Surgery Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1275755860

Southeastern Oral-Maxillofacial and Cosmetic Surgery Center is an Oral and Maxillofacial Surgery (Dentist) in Dothan, Alabama. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

216 Healthwest Dr
Dothan, AL 36303-1942
Phone: (334) 792-2880
Fax: (334) 792-9336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1275755860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bradshaw — Administrator · (334) 792-2880
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address216 Healthwest Dr, Dothan, AL 36303-1942

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