DESTIN DENTAL GROUP NPI 1275036642

NPI Information

  • NPI: 1275036642
  • Provider Name: DESTIN DENTAL GROUP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 10510 HUTCHISON BLVD
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Phone: (850) 234-7080

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NPI Details

DESTIN DENTAL GROUP is a dental clinic center in Panama City Beach, FL. DESTIN DENTAL GROUP NPI is 1275036642. The provider is registered as an organization entity type.

The provider's business location address is:

10510 HUTCHISON BLVD
PANAMA CITY BEACH, FL
ZIP 32407-836
Phone: (850) 234-7080

The provider's authorized official is Benjamin Grooters .
The authorized official title is Dentist/owner and has the following contact phone number (850) 234-7080.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/13/2018.

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
1261QD0000XClinic/CenterDentalDN17955FLORIDAYes

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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