Southeastern Oral-Maxillofacial and Cosmetic Surgery Center
NPI 1275755860 · Oral and Maxillofacial Surgery (Dentist) · Dothan, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Oral-Maxillofacial and Cosmetic Surgery Center is a Oral and Maxillofacial Surgery (Dentist) organization in Dothan, AL (NPI 1275755860).
Provider details
- NPI number
- 1275755860
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Karen Bradshaw, Administrator(334) 792-2880
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's NPI number?
- Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's National Provider Identifier (NPI) is 1275755860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Oral-Maxillofacial and Cosmetic Surgery Center?
- Southeastern Oral-Maxillofacial and Cosmetic Surgery Center is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Southeastern Oral-Maxillofacial and Cosmetic Surgery Center located?
- Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's practice location on file with NPPES is 216 Healthwest Dr, Dothan, AL 36303-1942.
- What is Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Oral-Maxillofacial and Cosmetic Surgery Center is (334) 792-2880.
- Does Southeastern Oral-Maxillofacial and Cosmetic Surgery Center accept Medicare?
- Southeastern Oral-Maxillofacial and Cosmetic Surgery Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeastern Oral-Maxillofacial and Cosmetic Surgery Center?
- The authorized official listed on Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's NPPES record is Karen Bradshaw, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's NPI active?
- Yes — Southeastern Oral-Maxillofacial and Cosmetic Surgery Center's NPI (1275755860) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.