| Pensacola Patriot Dental Pllc | |
|
4627 N Davis Hwy Ste A Pensacola FL 32503-2364 | |
| (850) 477-1120 | |
| Not Available |
| Full Name | Pensacola Patriot Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4627 N Davis Hwy Ste A, Pensacola, Florida |
| Authorized Official Name and Position | John Keith Lisonbee (CEO) |
| Authorized Official Contact | 8507581844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pensacola Patriot Dental Pllc 4627 N Davis Hwy Ste A Pensacola FL 32503-2364 Ph: (850) 477-1120 | Pensacola Patriot Dental Pllc 4627 N Davis Hwy Ste A Pensacola FL 32503-2364 Ph: (850) 477-1120 |
| NPI Number | 1629742226 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629742226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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