PAUL KELLUM DDS NPI 1033525431

NPI Information

  • NPI: 1033525431
  • Provider Name: PAUL KELLUM, DDS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Other Name: DESTIN DENTAL CENTER
  • Address: 985 AIRPORT RD
    DESTIN, FL
    ZIP 32541
  • Phone: (850) 837-6645

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NPI Details

PAUL KELLUM, DDS is a dental clinic center in Destin, FL. PAUL KELLUM, DDS NPI is 1033525431. The provider is registered as an organization entity type.
The provider Other Name Is Destin Dental Center.

The provider's business location address is:

985 AIRPORT RD
DESTIN, FL
ZIP 32541-835
Phone: (850) 837-6645
Fax: (850) 650-8553

The provider's authorized official is Henry Paul Kellum .
The authorized official title is Owner and has the following contact phone number (850) 837-6645.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.

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
1261QD0000XClinic/CenterDental10931FLORIDAYes

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: 3/30/2025

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