Southeastern Oral-maxillofacial And Cosmetic Surgery Center - Medicare Dental Clinic in Dothan, AL

Southeastern Oral-maxillofacial And Cosmetic Surgery Center is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Dothan, Alabama. The current practice location for Southeastern Oral-maxillofacial And Cosmetic Surgery Center is 216 Healthwest Dr, Dothan, Alabama. For appointments, you can reach them via phone at (334) 792-2880. The mailing address for Southeastern Oral-maxillofacial And Cosmetic Surgery Center is 216 Healthwest Dr, Dothan, Alabama and phone number is (334) 792-2880.

Southeastern Oral-maxillofacial And Cosmetic Surgery Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275755860. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 792-2880.

Contact Information

Southeastern Oral-maxillofacial And Cosmetic Surgery Center
216 Healthwest Dr
Dothan
AL 36303-1942
(334) 792-2880
(334) 792-9336

Dental Care Clinic Profile

Full NameSoutheastern Oral-maxillofacial And Cosmetic Surgery Center
SpecialityDentist
Location216 Healthwest Dr, Dothan, Alabama
Authorized Official Name and PositionKaren Bradshaw (ADMINISTRATOR)
Authorized Official Contact3347922880
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1275755860
Provider Enumeration Date05/03/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0042283863
Medicare Enrollment IDO20040818001035

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Medical Identifiers

Medical identifiers for Southeastern Oral-maxillofacial And Cosmetic Surgery Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275755860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeastern Oral-maxillofacial And Cosmetic Surgery Center acts as a billing entity for following providers:
Provider NameClinton Wilkinson Evans
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1093799009
PECOS PAC ID: 4789657511
Enrollment ID: I20111103000298

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Provider NameGregory Charles Bess
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1316921745
PECOS PAC ID: 7416920244
Enrollment ID: I20111109000152

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Provider NameDavid S Falconer
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1275794547
PECOS PAC ID: 4183860976
Enrollment ID: I20140924000999

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Dental Clinics in Dothan, AL

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

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