SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER is an oral and maxillofacial surgery dentist in Dothan, AL. The provider is an oral and maxillofacial surgery dentist specialized in 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. SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER NPI is 1275755860. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
216 HEALTHWEST DR
DOTHAN, AL
ZIP 36303-942
Phone: (334) 792-2880
Fax: (334) 792-9336
The provider's authorized official is Karen Bradshaw .
The authorized official title is Administrator and has the following contact phone number (334) 792-2880.
The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.