Individual
IAN DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503-2406
(850) 477-1125
Mailing address
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503-2406
(262) 287-7968
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1001587-15
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28314
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
08/21/2023
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