OrganizationActive
Family Dental Care of Dothan, PC
NPI 1124103288 · General Practice Dentistry · Dothan, AL
Provider details
- NPI number
- 1124103288
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keith Blackmon, Owner(334) 792-5711
- License
- 4491 (AL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
107 Professional Ln
Dothan, AL 36303-3875
Phone: (334) 792-5711
Fax: (334) 678-8157
Street-level locationGet directions
Mailing address
107 Professional Ln
Dothan, AL 36303-3875
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2011-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.