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SOUTHERN DENTAL ASSOCIATES P.A. NPI 1700987732


NPI Information

NPI: 1700987732
Provider Name: SOUTHERN DENTAL ASSOCIATES, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
151 W AIRPORT BLVD
PENSACOLA, FL
ZIP 32505
Phone: (850) 477-5252
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SOUTHERN DENTAL ASSOCIATES, P.A. 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. SOUTHERN DENTAL ASSOCIATES, P.A. NPI is 1700987732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

151 W AIRPORT BLVD
PENSACOLA, FL
ZIP 32505
Phone: (850) 477-5252
Fax: (850) 477-5532

The provider's authorized official is Andrew Ellison Trammell .
The authorized official title is Owner Dentist Secretary Officer and has the following contact phone number (850) 477-5252.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 1/18/2008.


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

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

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