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AVALON DENTAL CLINIC PL
NPI 1629045489
Dentist - General Practice in Milton, FL

Active since March 01, 2006
4272 AVALON BOULEVARD, MILTON, FL 32583(850) 626-6100(850) 626-6161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avalon Dental Clinic Pl NPPES

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

AVALON DENTAL CLINIC PL (NPI 1629045489) is a healthcare organization registered as a general practice in Milton, Florida and active in the NPI registry since March 2006. The organization lists Anissa Marie Rodriquez-ottley, Owner, as its authorized official.

NPPES Registry Identity

NPI1629045489
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAVALON DENTAL CLINIC PL
Location Address4272 AVALON BOULEVARDMilton, FL 32583-2858
Mailing Address4272 Avalon BoulevardMilton, FL 32583-2858 · (850) 626-6100 · Fax (850) 626-6161
Phone(850) 626-6100
Fax(850) 626-6161
Organization SubpartNo
Authorized OfficialAnissa Marie Rodriquez-ottleyOwner · (850) 626-6100
Enumeration DateMarch 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629045489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN15481
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4272 AVALON BOULEVARD, Milton, FL 32583
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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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Dental Clinic Pl's NPI number?

The NPI number for Avalon Dental Clinic Pl is 1629045489. It was assigned to this organization in the NPPES registry on March 1, 2006.

Where is Avalon Dental Clinic Pl located?

Avalon Dental Clinic Pl is located at 4272 Avalon Boulevard, Milton, FL 32583. The listed phone number is (850) 626-6100.

What is Avalon Dental Clinic Pl's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Avalon Dental Clinic Pl was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.