| Crestview Family Dentistry | |
|
502 E Hickory Ave Crestview FL 32536 | |
| (850) 683-3544 | |
| (850) 683-4503 |
| Full Name | Crestview Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 502 E Hickory Ave, Crestview, Florida |
| Authorized Official Name and Position | Jennifer H Wayer (PRESIDENT) |
| Authorized Official Contact | 8506833544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Family Dentistry 502 E Hickory Ave Crestview FL 32536 Ph: (850) 683-3544 | Crestview Family Dentistry 502 E Hickory Ave Crestview FL 32536 Ph: (850) 683-3544 |
| NPI Number | 1073687802 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073687802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15176 (Florida) | Primary |
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