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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