Provider Demographics
NPI:1053694844
Name:H & L DENTISTRY, LLC
Entity type:Organization
Organization Name:H & L DENTISTRY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-939-5266
Mailing Address - Street 1:7552 NAVARRE PKWY
Mailing Address - Street 2:STE. 60
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7305
Mailing Address - Country:US
Mailing Address - Phone:850-939-5266
Mailing Address - Fax:850-939-5229
Practice Address - Street 1:7552 NAVARRE PKWY
Practice Address - Street 2:STE. 60
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-7305
Practice Address - Country:US
Practice Address - Phone:850-939-5266
Practice Address - Fax:850-939-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN163861223G0001X
FLDN130841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty