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Organization
LAYNE & BARTH FAMILY DENTISTRY, PA
Active
Organization
LAYNE & BARTH FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA H. COLLIER (OFFICE MANAGER)
(850) 674-5502
Entity
Organization
Contact information
Practice address
19606 SR 20 W, BLOUNTSTOWN, FL 32424-4007
(850) 674-5502
(850) 674-9790
Mailing address
19606 SR 20 W., BLOUNTSTOWN, FL 32424
(850) 674-8681
(850) 674-9790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18715
FL
1223G0001X
General Practice Dentistry
DN6876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
782-959
COMP BENEFITS
FL
01
—
782959
UNITED CONCORDIA
FL
01
—
85486
BCBS
FL
Enumeration date
02/18/2010
Last updated
06/18/2018
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