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Organization
SOUTHERN SMILES DENTAL GROUP LLC
Active
Organization
SOUTHERN SMILES DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL HAYNIE III MBA (OWNER)
(334) 661-7671
Entity
Organization
Contact information
Practice address
2001 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 794-0348
Mailing address
302 ROYAL PKWY, DOTHAN, AL 36305-6944
(334) 661-7671
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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