OrganizationActive
Southern Magnolia Dental LLC
NPI 1104717560 · Public Health Dentistry · Dothan, AL
Southern Magnolia Dental LLC is a Public Health Dentistry organization in Dothan, AL (NPI 1104717560).
Provider details
- NPI number
- 1104717560
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Pfister, Owner Dentist(334) 232-0550
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2660 Montgomery Hwy Ste 2
Dothan, AL 36303-2618
Phone: (334) 232-0550
Fax: (334) 232-0488
Street-level locationGet directions
Mailing address
2660 Montgomery Hwy Ste 2
Dothan, AL 36303-2618
Other names (DBA / former)
- Doing business as
- Southern Magnolia Dental
Registry dates
- Enumerated
- 2025-07-14
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Southern Magnolia Dental LLC's NPI number?
- Southern Magnolia Dental LLC's National Provider Identifier (NPI) is 1104717560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Magnolia Dental LLC?
- Southern Magnolia Dental LLC is classified in the NPPES registry as Public Health Dentistry (Dental Providers).
- Where is Southern Magnolia Dental LLC located?
- Southern Magnolia Dental LLC's practice location on file with NPPES is 2660 Montgomery Hwy Ste 2, Dothan, AL 36303-2618.
- What is Southern Magnolia Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Magnolia Dental LLC is (334) 232-0550.
- Who is the authorized official for Southern Magnolia Dental LLC?
- The authorized official listed on Southern Magnolia Dental LLC's NPPES record is Brian Pfister, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Magnolia Dental LLC's NPI active?
- Yes — Southern Magnolia Dental LLC's NPI (1104717560) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.