Whalio Doctors

NPI 1477087898

Bryan T Kendricks, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Dothan, AL

Practice location

Address
Alabama Center for Oral Surgery and Dental Implants 188 N Foster St Suite 203, Dothan, AL 36303
Phone
(334) 697-6453
Fax
(334) 212-8467
Mailing address
188 N Foster St Suite 203, Dothan, AL 36303

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D007143D (AL)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 9978 (KY)

Registry record

NPI
1477087898
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2017
Record last updated
8 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.