Southern Smiles Dental Group LLC

NPI #1780385021 in Dothan, Alabama

Provider Information

NPI Number
1780385021
Entity Type
Organization
Organization Name
Southern Smiles Dental Group LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 14, 2023
Last Updated
Mar 14, 2023

Practice Location

Address
2001 ALEXANDER DR
City
Dothan
State
Alabama
ZIP Code
36301-3003
Phone
(334) 794-0348

Authorized Official

Name
MR. CARL HAYNIE III, MBA
Title
OWNER
Phone
(334) 661-7671

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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