MID BAY DENTAL
NPI 1013376219
Dentist in Niceville, FL

Q: What is Midbay Dental Pplc's NPI number?

The NPI number for Midbay Dental Pplc is 1013376219. It was assigned to this organization in the NPPES registry on February 16, 2016. The provider is doing business as Mid Bay Dental.

Q: What is Midbay Dental Pplc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 16, 2016

4579 E HIGHWAY 20 STE 210, NICEVILLE, FL 32578(850) 897-4200(850) 897-4504 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Feb 16, 2016 (2 updates tracked since 2016).

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About Mid Bay Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID BAY DENTAL (NPI 1013376219) is a healthcare organization registered as a dentist in Niceville, Florida and active in the NPI registry since February 2016. The organization lists Justine Konane Chase, Owner, as its authorized official.

NPPES Registry Identity

NPI1013376219

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMIDBAY DENTAL PPLC

Location Address4579 E HIGHWAY 20 STE 210Niceville, FL 32578-9810

Mailing Address4579 E Highway 20 Ste 210Niceville, FL 32578-9810 · (850) 897-4200 · Fax (850) 897-4504

Phone(850) 897-4200

Fax(850) 897-4504

Organization SubpartNo

Authorized OfficialJustine Konane ChaseOwner · (850) 897-4200

Enumeration DateFebruary 16, 2016

Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1013376219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN14797

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4579 E HIGHWAY 20 STE 210, Niceville, FL 32578

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Other Names 1

Doing Business AsMid Bay Dental

Other Identifiers 1

Other1841210267FL · Individual

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE ANNE ROUNTREE

Specialist