Provider Demographics
NPI:1235536343
Name:D AND F OF DAPHNE PC
Entity Type:Organization
Organization Name:D AND F OF DAPHNE PC
Other - Org Name:SAVE-ON DENTAL CARE OF DAPHNE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:251-368-3559
Mailing Address - Street 1:6890 US HIGHWAY 90
Mailing Address - Street 2:SUITE 11
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6890 US HIGHWAY 90
Practice Address - Street 2:SUITE 11
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9529
Practice Address - Country:US
Practice Address - Phone:251-368-3559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty