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Electronic Submission Consent

I acknowledge that the information I am submitting may include protected health information ("PHI") as defined under the Health Insurance Portability and Accountability Act ("HIPAA"). I understand that this information will be transmitted electronically to the healthcare practice I have selected. By checking this box, I consent to the electronic submission and transmission of my information for the purpose of requesting an appointment or related services. Further, you represent that you have the authority to make this acknowledgement, either as the individual for whom this form is intended or as the personal representative of such user. I understand that while this form uses encryption to protect my information during transmission, no electronic communication can be guaranteed to be fully secure. For more information about Southeastern Oral-Maxillofacial and Cosmetic Surgery Center, P.C.'s privacy policy, please see our privacy policy.
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Address

Dothan Location
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216 Healthwest Drive

Dothan, AL 36303

Phone

phone
334-508-4600

Hours

Mon:

7:30 AM

 - 

3:30 PM

Tue:

7:30 AM

 - 

3:30 PM

Wed:

7:30 AM

 - 

3:30 PM

Thu:

7:30 AM

 - 

3:30 PM

Fri:

7:30 AM

 - 

2:30 PM

Phones remain open until 5 PM

Southeastern Oral-Maxillofacial and Cosmetic Surgery Center, P.C. Reviews

Did great job

H.B. Google

I had the best experience. I never even felt the IV going in and the staff is incredible!!!!

J.E. Google

Thanks so much for great professional service

J.M. Google

I would recommend Southeastern Oral Surgery to family & friends. The staff is caring, concerned, patience & knowledgeable. Short wait times.

P.P. Google

Except for the expected soreness, all is well.

G.B. Google

754

Total Reviews

5

Average Rating

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All Reviews