Robert G Emblom, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3242 Issued in AL

Practice address

318 Healthwest Dr
Dothan, AL 36303-1907

Phone

(334) 678-1727

Fax

(334) 678-1521

NPI assigned

Jun 5, 2006

Last updated

Jul 13, 2026By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emblom & Vaughn, D.M.D., PC

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1194205740
  NPD (past) Authorized official
• Charles Elijah Dentistry

  • Dental Clinic/Center
  • Dothan, AL
  • NPI 1760230858
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740229061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031907",
            "telephone_number": "334-678-1727",
            "fax_number": "334-678-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031907",
            "telephone_number": "334-678-1727",
            "fax_number": "334-678-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBLOM",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Ellis, DNP, FNP-C
• Janet Lynn Ellis, M.S.W., L.C.S.W., PI
• Jeannette K. Ellis, REGISTERED NURSE
• Melanie Jo Ellison, NP
• Emblom & Vaughn, D.M.D., PC
• Emily Bell, LLC
• Encompass Health Rehabilitation Hospital of Dothan, Inc (Encompass Health Rehabilitation Hospital of Dothan)
• Encore Rehabilitation, Inc.
• Encore Rehabilitation, Inc. (Encore Rehab of Dothan East)
• Alyssa Sizemore Enfinger, MS CCC-SLP

• 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 Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.