Organization
DEFUNIAK SPRINGS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL CARSON HALL D.M.D. (OWNER)
(850) 892-0866
Entity
Organization
Contact information
Practice address
746 BALDWIN AVENUE, DEFUNIAK SPRINGS, FL 32435
(850) 892-0866
(850) 892-4280
Mailing address
746 BALDWIN AVENUE, DEFUNIAK SPRINGS, FL 32435
(850) 892-0866
(850) 892-4280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17532
FL
Other
Enumeration date
06/24/2008
Last updated
03/19/2022
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