Southern Magnolia Dental LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SOUTHERN MAGNOLIA DENTAL LLC

Practice address

2660 Montgomery Hwy Ste 2
Dothan, AL 36303-2618

Phone

(334) 232-0550

Fax

(334) 232-0488

NPI assigned

Jul 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Pfister, DMDNPI 1346763091

Title

Owner Dentist

Phone

(334) 232-0550

Specialties & licenses 1

Addresses

Other names 1

• Southern Magnolia Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Pfister, DDS

  • Dentist
  • Dothan, AL
  • NPI 1346763091
  NPD Authorized official
• Anna Lee Walker, DMD

  • Dentist
  • Dothan, AL
  • NPI 1952236747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1104717560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MONTGOMERY HWY STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032618",
            "telephone_number": "334-232-0550",
            "fax_number": "334-232-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 MONTGOMERY HWY STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032618",
            "telephone_number": "334-232-0550",
            "fax_number": "334-232-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAGNOLIA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "334-232-0550",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Magnolia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Eye Specialists PC
• Southern Family Markets LLC
• Southern Home Care Services, Inc.
• Southern Home Respiratory Inc
• Southern Institute of Plastic Surgery, Inc.
• Southern Pedodontics Partners, LLC
• Southern Sleep Clinics, LLC
• Southern Smiles Dental Group LLC
• Southwood Radiology
• Alaina Arnold Sowell, RD, LD

• Public Health Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• Public Health Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.