NPIMap

Organization Active NPI

Southern Periodontics II, P.C.

Doing business as Southern Periodontics

  • Periodontics
  • Homewood, AL
National Provider Identifier
1861986622
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6124 Issued in AL
Legal business name
SOUTHERN PERIODONTICS II, P.C.
Doing business as
Southern Periodontics
Practice address
1023 Oxmoor Rd
Homewood, AL 35209-5317
Phone
(256) 467-3638
NPI assigned
Jun 15, 2018
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Dr. Coty Hulgan, DMD, MPHNPI 1841603313
Title
President
Phone
(256) 467-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6124 AL Primary

Addresses

Primary practice location

1023 Oxmoor Rd
Homewood, AL 35209-5317

Mailing address

1023 Oxmoor Rd
Homewood, AL 35209-5317
Phone (256) 467-3638

Other names 1

  • Southern Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Periodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1023 Oxmoor Rd
Homewood, AL 35209
Phone (205) 438-7122

Practitioners & affiliated clinicians

Practitioners 1

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": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1861986622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 OXMOOR RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095317",
            "telephone_number": "256-467-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 OXMOOR RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095317",
            "telephone_number": "256-467-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PERIODONTICS II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "HULGAN",
        "authorized_official_first_name": "COTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-467-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.