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Galloway Dental Implants and Periodontics, P.C. — NPI 1053823005, Dothan, AL | NPI Central

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NPI 1053823005

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Galloway Dental Implants and Periodontics, P.C.

NPI 1053823005 · Periodontics · Dothan, AL

Provider details

NPI number: 1053823005
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Organization subpart: No
Authorized official: Jasmine Rodriguez, Admin Asst.(334) 792-7888
License: 3595 (AL)

Specialties & taxonomies

PeriodonticsPrimary1223P0300X
Dental Providers
Periodontics1223P0300XLicense 3595 (AL)
Dental Providers

Practice location

102 Medical Dr

Dothan, AL 36303-6902

Phone: (334) 792-7888

Fax: (334) 792-8717

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

102 Medical Dr

Dothan, AL 36303-6902

Other names (DBA / former)

Former legal business name: Lewis G Humphreys, Jr

Registry dates

Enumerated: 2017-10-31
Last updated: 2021-09-29
Certified: 2021-09-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.