Southeast Dental Works LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTHEAST DENTAL WORKS LLC

Practice address

3400 Montgomery Hwy Ste 1
Dothan, AL 36303-1270

Phone

(334) 803-8700

NPI assigned

Feb 24, 2021

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Drew Patchett

Title

Owner

Phone

(334) 803-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Botero-Giraldo

  • Dentist
  • Dothan, AL
  • NPI 1265111900
  NPD
• Daniel Brumley, DDS

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1760089619
  NPD
• Rui Paulo Fernandes, M.D. , D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jacksonville, FL
  • NPI 1861467078
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1568056257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MONTGOMERY HWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031270",
            "telephone_number": "334-803-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST DENTAL WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "PATCHETT",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-803-8700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Alabama Rural Health Associates (Dothan Family Health Center)
• Southeast Alabama Surgical LLC
• Southeast Alabama Youth Services
• Southeast Alabama Youth Services, Inc
• Southeast Cardiology Clinic Inc.
• Southeast Outpatient Addiction Recovery (Soar)
• Southeast Vein & Laser Center, P.C.
• Southeastern Cardiovascular Associates PC
• Southeastern Chiropractic Associates,P.C.
• Southeastern Oral-Maxillofacial and Cosmetic Surgery Center

• General Practice Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.