IndividualActive
Alec Redfearn, DDS
NPI 1629255799 · General Practice Dentistry · Live Oak, FL
Provider details
- NPI number
- 1629255799
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN9900 (FL)
Specialties & taxonomies
Dental Providers
Practice location
931 North Ohio Avenue
Live Oak, FL 32064
Phone: (386) 362-1646
Fax: (386) 362-6167
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 758
Live Oak, FL 32064
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.