TIMBERLANE FAMILY DENTISTRY NPI 1043600604

NPI Information

  • NPI: 1043600604
  • Provider Name: TIMBERLANE FAMILY DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1972 N FUTURE TER
    LECANTO, FL
    ZIP 34461
  • Phone: (352) 746-9111

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NPI Details

TIMBERLANE FAMILY DENTISTRY is a general practice dentist in Lecanto, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TIMBERLANE FAMILY DENTISTRY NPI is 1043600604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1972 N FUTURE TER
LECANTO, FL
ZIP 34461-341
Phone: (352) 746-9111
Fax: (352) 746-7180

The provider's authorized official is Missy Darlene Degolyer .
The authorized official title is Reception and has the following contact phone number (352) 746-9111.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice593246519FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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