NICEVILLE FAMILY DENTAL CENTER, P.L. (NPI# 1730297656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730297656 |
| Entity Type | Organization |
| Organization Name | NICEVILLE FAMILY DENTAL CENTER, P.L. |
| Practice Address |
908 Palm Blvd S Niceville FL 32578-2603 |
| Practice Telephone | 8507291223 |
| Practice Fax Number | 8506786086 |
| Mailing Telephone | 8507291223 |
| Mailing Fax Number | 8506786086 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RALF PETER ZAPATA (DIRECTOR) |
| Authorized Official Telephone | 8507291223 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS OF FLORIDA | 34790 | 01 |
| UNITED CONCORDIA | 809857 | 01 |
| Street Address |
908 PALM BLVD S |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326508060 | Harper Family Dentisty, Pllc | Clinic/Center | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2019-03-20 |
| 1912427253 | Steven Tyler Baker | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2017-06-27 |
| 1932456084 | Thomas Brandon Grant | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2012-08-08 |
| 1912015793 | Nathaniel Carson Hall | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1336257187 | Gary Wayne Hall | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1609984467 | Larry James Casey | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1639287477 | Ralf Peter Zapata | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127751 | Nancy Elizabeth Hughes | Dentist | 4579 E Highway 20 Ste 210, Niceville, FL 32578-9810 | 2020-06-08 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1699205880 | Jonathan Casiano | Dentist | 1156 John Sims Pkwy E, Niceville, FL 32578-2204 | 2017-06-19 |
| 1104294669 | Bluewater Bay Dental, Pa | Dentist | 4400 E Highway 20 Ste 101, Niceville, FL 32578-9735 | 2015-09-14 |
| 1588893424 | Carissa Michelle Maguire | Dentist | 614 Tulip Tree Way, Niceville, FL 32578-3422 | 2009-07-14 |
| 1730381344 | Gulf Coast Dental LLC | Dentist | 4566 Hwy 20e, Suite 108, Niceville, FL 32578 | 2007-06-05 |
| 1508067927 | Steven G Robinette | Dentist | 4566 Hwy 20 E, Suite 108, Niceville, FL 32578 | 2007-05-31 |
| 1710023874 | E. Michael Duckworth | Dentist | 4566 E Highway 20 Ste 108, Niceville, FL 32578-8839 | 2007-01-29 |
| 1639138498 | Andy S. Holtery | Dentist | 136 Partin Dr N, Niceville, FL 32578-2054 | 2006-03-21 |
| 1740283159 | Michael J Mihalcik | Dentist | 704 Palm Blvd N, Niceville, FL 32578-1238 | 2005-05-31 |
| Find all providers in NICEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.