Southern Roots Family and Cosmetic Dentistry
NPI 1336973999 · Dental Clinic/Center · Mobile, AL
Southern Roots Family and Cosmetic Dentistry is a Dental Clinic/Center organization in Mobile, AL (NPI 1336973999).
Provider details
- NPI number
- 1336973999
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Vickers, Owner(251) 342-0380
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2024-08-27
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Southern Roots Family and Cosmetic Dentistry's NPI number?
- Southern Roots Family and Cosmetic Dentistry's National Provider Identifier (NPI) is 1336973999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Roots Family and Cosmetic Dentistry?
- Southern Roots Family and Cosmetic Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Roots Family and Cosmetic Dentistry located?
- Southern Roots Family and Cosmetic Dentistry's practice location on file with NPPES is 6154 Omni Park Dr, Mobile, AL 36609-5195.
- What is Southern Roots Family and Cosmetic Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Southern Roots Family and Cosmetic Dentistry is (251) 414-5142.
- Who is the authorized official for Southern Roots Family and Cosmetic Dentistry?
- The authorized official listed on Southern Roots Family and Cosmetic Dentistry's NPPES record is Walter Vickers, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Roots Family and Cosmetic Dentistry's NPI active?
- Yes — Southern Roots Family and Cosmetic Dentistry's NPI (1336973999) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.