OrganizationActive
Family Dental Care of Dothan, PC
NPI 1124103288 · General Practice Dentistry · Dothan, AL
Family Dental Care of Dothan, PC is a General Practice Dentistry organization in Dothan, AL (NPI 1124103288).
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(91/100 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
Frequently asked questions
- What is Family Dental Care of Dothan, PC's NPI number?
- Family Dental Care of Dothan, PC's National Provider Identifier (NPI) is 1124103288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Dental Care of Dothan, PC?
- Family Dental Care of Dothan, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Family Dental Care of Dothan, PC located?
- Family Dental Care of Dothan, PC's practice location on file with NPPES is 107 Professional Ln, Dothan, AL 36303-3875.
- What is Family Dental Care of Dothan, PC's phone number?
- The practice phone number listed in the NPPES registry for Family Dental Care of Dothan, PC is (334) 792-5711.
- Who is the authorized official for Family Dental Care of Dothan, PC?
- The authorized official listed on Family Dental Care of Dothan, PC's NPPES record is Keith Blackmon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Dental Care of Dothan, PC's NPI active?
- Yes — Family Dental Care of Dothan, PC's NPI (1124103288) is active in the NPPES registry as of the last update on 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.