OrganizationActive
Forst Park Dental PA
NPI 1194177212 · General Practice Dentistry · Panama City, FL
Provider details
- NPI number
- 1194177212
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Susan Stewart, Office Manager(334) 281-2451
- License
- DN 21936 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2620 Jenks Ave
Panama City, FL 32405-4311
Phone: (850) 785-8586
Fax: (334) 281-1087
Street-level locationGet directions
Mailing address
2620 Jenks Ave
Panama City, FL 32405-4311
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2016-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.