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EMERALD COAST DENTAL SPA NPI 1548415144


NPI Information

NPI: 1548415144
Provider Name: EMERALD COAST DENTAL SPA

Former Legal Business Name: TARA WALLING DMD PA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
900 THOMAS DR
PANAMA CITY BEACH, FL
ZIP 32408
Phone: (850) 249-9311
Get Directions

EMERALD COAST DENTAL SPA is a general practice dentist in Panama City Beach, 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. EMERALD COAST DENTAL SPA NPI is 1548415144. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Tara Walling Dmd Pa.

The provider's business location address is:

900 THOMAS DR
PANAMA CITY BEACH, FL
ZIP 32408-442
Phone: (850) 249-9311
Fax: (850) 249-9312

The provider's authorized official is Tara M Griffin .
The authorized official title is President/ Owner and has the following contact phone number (850) 249-9311.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 1/28/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes
2305S00000XPoint of Service17668FLORIDANo

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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