Provider Type Icon

BAYOU DENTAL PA NPI 1407898158


NPI Information

NPI: 1407898158
Provider Name: BAYOU DENTAL, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4461 BAYOU BLVD
PENSACOLA, FL
ZIP 32503
Phone: (850) 476-5233
Get Directions

BAYOU DENTAL, PA is a general practice dentist in Pensacola, 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. BAYOU DENTAL, PA NPI is 1407898158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4461 BAYOU BLVD
PENSACOLA, FL
ZIP 32503-601
Phone: (850) 476-5233

The provider's authorized official is James D Callahan .
The authorized official title is President and has the following contact phone number (850) 476-5233.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11808923OTHERFLORIDAUNITED CONCORDIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.