Kevin Padron
Individual provider Active NPI Dentist · Freeport, FL
NPI 1801725916 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1801725916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN31930 (FL)
- Practice address
- 1848 Great Hammock BND
Freeport, FL 32439-6695 - Phone
- (850) 953-7005
- NPI assigned
- May 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Beach Family Dental LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DN31930 | FL | Yes |
Addresses
Primary practice location
1848 Great Hammock BND
Freeport, FL 32439-6695
Mailing address
317 Shady Lane Rd
Palm Springs, FL 33461-1822
Phone (561) 401-5976
Other providers in Freeport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 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.