| Crestview Family Dentistry | |
|
101 4th Ave Ste E Crestview FL 32539-2401 | |
| (985) 750-1240 | |
| Not Available |
| Full Name | Crestview Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 4th Ave Ste E, Crestview, Florida |
| Authorized Official Name and Position | Alyssa Brown (DENTIST) |
| Authorized Official Contact | 8506833544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Family Dentistry 101 East 4th Ave Ste D Crestview FL 32539-2401 Ph: (850) 683-3544 | Crestview Family Dentistry 101 4th Ave Ste E Crestview FL 32539-2401 Ph: (985) 750-1240 |
| NPI Number | 1104490697 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 06/27/2021 |
| Certification Date | 06/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104490697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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