Gregory Charles Bess, M.D., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

15364 Issued in AL

Practice address

216 Healthwest Dr
Dothan, AL 36303-1942

Phone

(334) 792-2880

Fax

(334) 792-9336

NPI assigned

Nov 30, 2005

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Alabama School of Dentistry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Oral-Maxillofacial and Cosmetic Surgery CenterGroup PAC ID 0042283863, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Oral-Maxillofacial and Cosmetic Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Dothan, AL
  • NPI 1275755860
  Medicare reassignment Care Compare group NPD
• Southeastern-Oms, LLC

  dba Southeastern Oral - Maxillofacial & Facial Cosmetic Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Dothan, AL
  • NPI 1609615871
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1316921745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N CHEROKEE AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033828",
            "telephone_number": "334-671-5790",
            "fax_number": "334-792-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031942",
            "telephone_number": "334-792-2880",
            "fax_number": "334-792-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESS",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "15364",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "4071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000090976",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL DOTHAN OFFICE",
            "identifier": "51090976",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "768972",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL ENTERPRISE OFFICE",
            "identifier": "51097745",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bennett, FNP
• William L Bennett, MD
• Joshua Sterling Bentley, D.O.
• Kimberly Allison Berry, L.P.C.
• Candice Bertsch, CRNP
• Charles Meador Beverly, M.D.
• Vikarsh Bhardwaj
• Samid Mohy-Uddin Bhatti, MD
• Cadelan Bickley
• Big Ben'Sgroup Home

• Oral and Maxillofacial Surgery (Dentist) in Dothan, AL
• Providers in Dothan, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.