Southeastern-Oms, LLC
NPI 1609615871 · 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)
Provider details
- NPI number
- 1609615871
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Gregory Bess, Oral Surgeon/Owner(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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Southeastern Oral - Maxillofacial & Facial Cosmetic Surgery Center
Additional practice locations (1)
- 813 E Lee StEnterprise, AL 36330-2072Phone: (334) 792-2880Fax: (334) 712-0202
Registry dates
- Enumerated
- 2024-05-20
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.