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NW FLORIDA IMPLANTSEDATION DENTISTRY INC. NPI 1316238520


NPI Information

NPI: 1316238520
Provider Name: NW FLORIDA IMPLANTSEDATION DENTISTRY, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1371 COUNTRY CLUB RD
GULF BREEZE, FL
ZIP 32563
Phone: (850) 934-8220
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NW FLORIDA IMPLANTSEDATION DENTISTRY, INC. is a general practice dentist in Gulf Breeze, 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. NW FLORIDA IMPLANTSEDATION DENTISTRY, INC. NPI is 1316238520. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1371 COUNTRY CLUB RD
GULF BREEZE, FL
ZIP 32563-451
Phone: (850) 934-8220
Fax: (850) 932-3661

The provider's authorized official is Donald Radomski .
The authorized official title is President and has the following contact phone number (850) 934-8220.

The enumeration date for this NPI number is 4/21/2011 and was last updated on 4/21/2011.


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 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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