Lana Rae Wood Eberly, DMD
Individual provider Active NPI Dentist · Blountstown, FL
NPI 1689562084 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1689562084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN30597 (FL)
- Practice address
- 19606 Sr 20 W
Blountstown, FL 32424-3916 - Phone
- (850) 674-5502
- NPI assigned
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30597 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Layne & Barth Family Dentistry, PA | Current |
Accepting new patients |
Locations
19606 State Road 20 W
Blountstown, FL 32424
Phone (850) 674-5502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30597 | FL | Yes |
Addresses
Primary practice location
19606 Sr 20 W
Blountstown, FL 32424-3916
Mailing address
19606 Sr 20 W
Blountstown, FL 32424-3916
Phone (850) 674-5502
Other providers in Blountstown, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. 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.