Ma Dental
Dentist, General Practice in Lynn Haven, FL. Organization (NPI-2).
NPI number1669958740
StatusActive
Last updated in NPPESJul 12, 2018
Details
- NPI
- 1669958740
- Entity type
- Organization (NPI-2)
- Legal business name
- Ma Dental
- Organization subpart
- No
- Enumeration date
- Jul 12, 2018
- Last updated
- Jul 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223P0300X | Dentist, Periodontics | – | – |
Other names
- Bay Smile Docs (Doing Business As)
Practice location
530 Florida AvenueLynn Haven, FL 32444-1736
Phone 850-271-2341 · Fax 850-271-0679
Mailing address
530 Florida AvenueLynn Haven, FL 32444-1736
Phone 850-271-2341 · Fax 850-271-0679
Authorized official
Michael Scott Grandy
Dentist/Owner
8502712341
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All 11 General Practice Dentistry providers in Lynn Haven · All 302 providers in Lynn Haven
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