Provider Demographics
NPI:1629091400
Name:FARRUGIA, ALAN (DMD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:FARRUGIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 N DAVIS HWY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6209
Mailing Address - Country:US
Mailing Address - Phone:850-505-0500
Mailing Address - Fax:850-505-0600
Practice Address - Street 1:6601 N DAVIS HWY
Practice Address - Street 2:SUITE 8
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6209
Practice Address - Country:US
Practice Address - Phone:850-505-0500
Practice Address - Fax:850-505-0600
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBA4653158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist