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ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA NPI 1285375873


NPI Information

NPI: 1285375873
Provider Name: ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
775 N FERDON BLVD STE A
CRESTVIEW, FL
ZIP 32536
Phone: (850) 220-1120
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ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA is a general practice dentist in Crestview, 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. ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA NPI is 1285375873. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

775 N FERDON BLVD STE A
CRESTVIEW, FL
ZIP 32536-167
Phone: (850) 220-1120

The provider's authorized official is Sherrie Edmondson .
The authorized official title is Manager, Licensing & Certification and has the following contact phone number (629) 999-5014.

The enumeration date for this NPI number is 4/6/2022 and was last updated on 8/3/2022.


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
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

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: 5/5/2024

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