IndividualActive
Abdalrahman Tawakol, DMD
NPI 1205691771 · General Practice Dentistry · Pace, FL
Provider details
- NPI number
- 1205691771
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN28696 (FL)
Specialties & taxonomies
Dental Providers
Practice location
4906 US-90
Pace, FL 32571
Phone: (850) 308-1600
Approximate (ZIP-level) locationGet directions
Mailing address
1233 Wetherby Rd
Pensacola, FL 32534-5620
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-10-04
- Certified
- 2024-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.