DR. STEPHEN EXTERKAMP DMD NPI 1801855903

NPI Information

  • NPI: 1801855903
  • Provider Name: DR. STEPHEN EXTERKAMP, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 307 BOATNER RD
    96TH MEDICAL GROUP, SUITE 1, BLDG 2825
    EGLIN AFB, FL
    ZIP 32542
  • Phone: (850) 883-8843

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NPI Details

DR. Stephen Exterkamp, DMD is a periodontics dentist in Eglin Afb, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Stephen Exterkamp, DMD NPI is 1801855903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 BOATNER RD
96TH MEDICAL GROUP, SUITE 1, BLDG 2825
EGLIN AFB, FL
ZIP 32542-391
Phone: (850) 883-8843
Fax: (850) 883-8328

The NPI 1801855903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/20/2006 and was last updated on 7/8/2007.

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
11223P0300XDentistPeriodontics5241KENTUCKYYes

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: 3/30/2025

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