| Aspen Dental | |
|
2670 S Ferdon Blvd Suite 108 Crestview FL 32536-5480 | |
| (850) 634-0748 | |
| (850) 682-0687 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2670 S Ferdon Blvd, Crestview, Florida |
| Authorized Official Name and Position | Nathaniel Durtschi (OWNER) |
| Authorized Official Contact | 8506340748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 2670 S Ferdon Blvd Suite 108 Crestview FL 32536-5480 Ph: (850) 634-0748 |
| NPI Number | 1447613328 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447613328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20225 (Florida) | Primary |
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