| Defuniak Springs Family Dental | |
|
746 Baldwin Avenue Defuniak Springs FL 32435 | |
| (850) 892-0866 | |
| (850) 892-4280 |
| Full Name | Defuniak Springs Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 746 Baldwin Avenue, Defuniak Springs, Florida |
| Authorized Official Name and Position | Nathaniel Carson Hall (OWNER) |
| Authorized Official Contact | 8508920866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defuniak Springs Family Dental 746 Baldwin Avenue Defuniak Springs FL 32435 Ph: (850) 892-0866 | Defuniak Springs Family Dental 746 Baldwin Avenue Defuniak Springs FL 32435 Ph: (850) 892-0866 |
| NPI Number | 1245491984 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 03/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245491984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17532 (Florida) | Primary |
Lake Erie College Of Osteopathic Medicine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Lecom Way, Defuniak Springs, FL 32435 Phone: 850-951-0200 |