Organization Active NPI

Southern Smiles Family Dentistry

  • Dental Clinic/Center
  • Millbrook, AL
National Provider Identifier
1568349546
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTHERN SMILES FAMILY DENTISTRY
Practice address
4771 Main St
Millbrook, AL 36054-2859
Phone
(334) 290-0595
Fax
(334) 290-0597
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Mrs. Patricia Dee Ceman
Title
Office Manager
Phone
(334) 290-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4771 Main St
Millbrook, AL 36054-2859

Mailing address

4771 Main St
Millbrook, AL 36054-2859
Phone (334) 290-0595

National Provider Directory

National Provider Directory

Locations

4771 Main St
Millbrook, AL 36054
Phone (334) 290-0595

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1568349546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 MAIN ST",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360542859",
            "telephone_number": "334-290-0595",
            "fax_number": "334-290-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 MAIN ST",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360542859",
            "telephone_number": "334-290-0595",
            "fax_number": "334-290-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "CEMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-290-0595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

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