Organization Active NPI

Taylor Dental Pensacola

  • Dental Clinic/Center
  • Pensacola, FL
National Provider Identifier
1891457347
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TAYLOR DENTAL PENSACOLA
Practice address
6601 N Davis Hwy Ste 8
Pensacola, FL 32504-6210
Phone
(850) 478-8005
Fax
(850) 478-6871
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Dr. Codie Nicole Garner-Leblanc, DDS
Title
Dentist
Phone
(850) 478-8005

Specialties & licenses 1

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

Addresses

Primary practice location

6601 N Davis Hwy Ste 8
Pensacola, FL 32504-6210

Mailing address

6601 N Davis Hwy Ste 8
Pensacola, FL 32504-6210
Phone (850) 478-8005

Other identifiers 3

IdentifierTypeStateIssuer
1366858771OtherFLDENTAL
1508846395OtherFLDENTAL
1134503477OtherFLDENTAL

National Provider Directory

National Provider Directory

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": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1891457347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046210",
            "telephone_number": "850-478-8005",
            "fax_number": "850-478-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046210",
            "telephone_number": "850-478-8005",
            "fax_number": "850-478-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DENTAL PENSACOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "GARNER-LEBLANC",
        "authorized_official_first_name": "CODIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-478-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1366858771",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1508846395",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1134503477",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 12, 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.