OrganizationActive
Advantage Dental Oral Health Center of Florida PA
NPI 1285375873 · General Practice Dentistry · Crestview, FL
Provider details
- NPI number
- 1285375873
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sherrie Edmondson, Manager, Licensing & Certification(629) 999-5014
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Practice location
775 N Ferdon Blvd Ste a
Crestview, FL 32536-2167
Phone: (850) 220-1120
Approximate (ZIP-level) locationGet directions
Mailing address
3322 W End Ave Ste 400
Nashville, TN 37203-6805
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.