Organization Active NPI

Beulah Family Dentistry

  • Dental Clinic/Center
  • Pensacola, FL
National Provider Identifier
1821768326
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BEULAH FAMILY DENTISTRY
Practice address
8716 Beulah Rd
Pensacola, FL 32526-5326
Phone
(850) 932-0831
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Paul Quinlan, DDSNPI 1427259381
Title
Dentist/Managing Member
Phone
(850) 910-3840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8716 Beulah Rd
Pensacola, FL 32526-5326

Mailing address

3989 W Madura Road
Gulf Breeze, FL 32563
Phone (850) 910-3840

Other names 1

  • Beulah Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

8716 Beulah Rd
Pensacola, FL 32526
Phone (850) 706-5688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1821768326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 W MADURA ROAD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32563",
            "telephone_number": "850-910-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 BEULAH RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325265326",
            "telephone_number": "850-932-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "850-910-3840",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beulah Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.