Robert Michael Garrett, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14738 Issued in FL

Practice address

307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391

Phone

(850) 883-8327

Fax

(850) 883-8328

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467477174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BALLY WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781763",
            "telephone_number": "850-678-9168",
            "fax_number": "850-883-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421391",
            "telephone_number": "850-883-8327",
            "fax_number": "850-883-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2645",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Andrea Galvis, CCC-SLP
• Robert Edward Gamble, PH.D.
• Amanda Gayle Garcia, CRNA, DNP
• Daryll Andrew Garcia, CRNA
• David Garcia, M.D.
• Michelle Gauthier, CRNA
• Christine Rennie Giblin, O.D.
• Robert N Gieringer, PT
• Breanna Grayson Giles, PHARMD
• Cassandra L Gillard

• General Practice Dentistry in Eglin Afb, FL
• Providers in Eglin Afb, 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 Jul 8, 2007; 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.