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Madison Amspacker

Dentist in Eglin Afb, FL. Individual provider (NPI-1).

NPI number1104760941
StatusActive
Last updated in NPPESAug 1, 2026

Details

NPI
1104760941
Entity type
Individual (NPI-1)
Name
Madison Amspacker
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2026
Certification date
Aug 1, 2026
Last updated
Aug 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist14295570-9926UTYes

Practice location

340 Boatner Rd
Eglin Afb, FL 32542-1391

Phone 850-883-8324

Mailing address

340 Boatner Rd Bldg 2751
Eglin Afb, FL 32542-1391

Phone 850-883-8324

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