Joshua Boland
Individual provider Active NPI Dentist · Lynn Haven, FL
NPI 1073449302 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1073449302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN32018 (FL)
- Practice address
- 620 Ohio Ave
Lynn Haven, FL 32444-1756 - Phone
- (850) 265-8983
- NPI assigned
- Jun 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DN32018 | FL | Yes |
Addresses
Primary practice location
620 Ohio Ave
Lynn Haven, FL 32444-1756
Mailing address
220 Sea Sound Cir Apt 2410
Panama City Beach, FL 32407-2639
Other providers in Lynn Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.