OrganizationActive
Genesis Dental Group Smiles on 11th LLC
NPI 1629598750 · General Practice Dentistry · Panama City, FL
Provider details
- NPI number
- 1629598750
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Susan Stewart, Manager(334) 676-2320
Specialties & taxonomies
Dental Providers
Practice location
1010 W 11th St
Panama City, FL 32401-2042
Phone: (850) 763-3622
Approximate (ZIP-level) locationGet directions
Mailing address
3150 Zelda Ct
Montgomery, AL 36106-2607
Registry dates
- Enumerated
- 2017-06-20
- Last updated
- 2017-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.