Individual
DR. GREGORY CHARLES BESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
216 HEALTHWEST DR, DOTHAN, AL 36303-1942
(334) 792-2880
(334) 792-9336
Mailing address
505 N CHEROKEE AVE, DOTHAN, AL 36303-3828
(334) 671-5790
(334) 792-9336
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15364
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4071
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000090976
—
AL
01
—
51090976
BCBSAL DOTHAN OFFICE
AL
01
—
51097745
BCBSAL ENTERPRISE OFFICE
AL
01
—
768972
UNITED CONCORDIA
AL
Enumeration date
11/30/2005
Last updated
09/22/2010
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