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LAFAYETTE COUNTY HEALTH DEPARTMENT-DENTAL CLINIC NPI 1447268354


NPI Information

NPI: 1447268354
Provider Name: LAFAYETTE COUNTY HEALTH DEPARTMENT-DENTAL CLINIC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
140 SW VIRGINIA CIR
MAYO, FL
ZIP 32066
Phone: (386) 294-2012
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LAFAYETTE COUNTY HEALTH DEPARTMENT-DENTAL CLINIC is a public health or welfare in Mayo, FL. LAFAYETTE COUNTY HEALTH DEPARTMENT-DENTAL CLINIC NPI is 1447268354. The provider is registered as an organization entity type.

The provider's business location address is:

140 SW VIRGINIA CIR
MAYO, FL
ZIP 32066-064
Phone: (386) 294-2012
Fax: (386) 294-3457

The provider's authorized official is Sandra Kim Pepper .
The authorized official title is Business Manager and has the following contact phone number (386) 362-2708.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareDN 14318FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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