BRYAN T KENDRICKS D.M.D. M.D. NPI 1477087898

NPI Information

  • NPI: 1477087898
  • Provider Name: BRYAN T KENDRICKS, D.M.D., M.D.
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS
    188 N FOSTER ST SUITE 203
    DOTHAN, AL
    ZIP 36303
  • Phone: (334) 697-6453

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NPI Details

Bryan T Kendricks, D.M.D., M.D. is an oral maxillofacial surgery in Dothan, AL with 6 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Bryan T Kendricks, D.M.D., M.D. NPI is 1477087898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS
188 N FOSTER ST SUITE 203
DOTHAN, AL
ZIP 36303
Phone: (334) 697-6453
Fax: (334) 212-8467

The NPI 1477087898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/12/2017 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice9978KENTUCKYNo
2204E00000XOral & Maxillofacial SurgeryD007143DALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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