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Organization
TAYLOR DENTAL PENSACOLA
Active
Organization
TAYLOR DENTAL PENSACOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODIE NICOLE GARNER-LEBLANC DDS (DENTIST)
(850) 478-8005
Entity
Organization
Contact information
Practice address
6601 N DAVIS HWY STE 8, PENSACOLA, FL 32504-6210
(850) 478-8005
(850) 478-6871
Mailing address
6601 N DAVIS HWY STE 8, PENSACOLA, FL 32504-6210
(850) 478-8005
(850) 478-6871
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134503477
DENTAL
FL
01
—
1366858771
DENTAL
FL
01
—
1508846395
DENTAL
FL
Enumeration date
10/12/2021
Last updated
10/12/2021
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