Defuniak Springs Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17532 Issued in FL

Legal business name

DEFUNIAK SPRINGS FAMILY DENTAL

Practice address

746 Baldwin Avenue
Defuniak Springs, FL 32435

Phone

(850) 892-0866

Fax

(850) 892-4280

NPI assigned

Jun 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathaniel Carson Hall, D.M.D.

Title

Owner

Phone

(850) 892-0866

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1245491984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 BALDWIN AVENUE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "32435",
            "telephone_number": "850-892-0866",
            "fax_number": "850-892-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 BALDWIN AVENUE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "32435",
            "telephone_number": "850-892-0866",
            "fax_number": "850-892-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFUNIAK SPRINGS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "CARSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-892-0866",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky E Dantzler, RN
• Casey Davis
• Micah F Davis
• Sarah Jean Davis, LCSW
• Linda Day
• Defuniak Springs HCC LLC
• Jane Ann Denney, P.T.
• Elizabeth Anne Dixon, ARNP
• Doctors Hospital of Defuniak Springs
• Doctors Medical Center of Walton County PA

• General Practice Dentistry in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.