Lynn Haven Dental Specialists PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LYNN HAVEN DENTAL SPECIALISTS PA

Practice address

620 Ohio Ave
Lynn Haven, FL 32444-1756

Phone

(850) 303-6800

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Brabner

Title

Director

Phone

(251) 215-9711

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Andrew Eberle, MD

  • Plastic Surgery Physician
  • Weston, FL
  • NPI 1760541130
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1730959362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 STEFANI RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325338335",
            "telephone_number": "251-215-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441756",
            "telephone_number": "850-303-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN HAVEN DENTAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BRABNER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-215-9711"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symphoni Angelique Liburd, PHARMD, RPH
• Sommer Livingston, RBT
• Anne Weaver Locke, PHARMD
• Andrea Brooke Long, CCC/SLP
• Love Care for Seniors LLC
• Lynn Haven Surgical Center Inc
• Ma Dental (Bay Smile Docs)
• Amer R Malik, M.D.
• Carl E Mantecon Sr., RPH
• Marcia Pell Cde RDN LDN LLC

• Dentist in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.