NPI: 1053823005
Provider Name: GALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C.
Former Legal Business Name: LEWIS G HUMPHREYS, JR
Classification: Dentist - 1223P0300X
Entity Type: Organization
Specialization: Periodontics
Address:
102 MEDICAL DR
DOTHAN, AL
ZIP 36303
Phone: (334) 792-7888
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GALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C. is a periodontics dentist in Dothan, AL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C. NPI is 1053823005. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Lewis G Humphreys, Jr.
The provider's business location address is:
102 MEDICAL DR
DOTHAN, AL
ZIP 36303-902
Phone: (334) 792-7888
Fax: (334) 792-8717
The provider's authorized official is Jasmine M. Rodriguez .
The authorized official title is Admin Asst. and has the following contact phone number (334) 792-7888.
The enumeration date for this NPI number is 10/31/2017 and was last updated on 9/29/2021.