Provider Demographics
NPI:1629477682
Name:DILLON HEARING TECHNOLOGIES
Entity Type:Organization
Organization Name:DILLON HEARING TECHNOLOGIES
Other - Org Name:AUDIBEL HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:NBC HIS
Authorized Official - Phone:850-481-8056
Mailing Address - Street 1:279 FOREST PARK CIR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4920
Mailing Address - Country:US
Mailing Address - Phone:850-481-8056
Mailing Address - Fax:850-481-8058
Practice Address - Street 1:279 FOREST PARK CIR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4920
Practice Address - Country:US
Practice Address - Phone:850-481-8056
Practice Address - Fax:850-481-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4971237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty