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GENESIS DENTAL GROUP SMILES ON 11TH LLC
NPI 1629598750
Dentist - General Practice in Panama City, FL

Active since June 20, 2017
1010 W 11TH ST, PANAMA CITY, FL 32401(850) 763-3622 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Dental Group Smiles On 11th Llc NPPES

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

GENESIS DENTAL GROUP SMILES ON 11TH LLC (NPI 1629598750) is a healthcare organization registered as a general practice in Panama City, Florida and active in the NPI registry since June 2017. The organization lists Susan Stewart, Manager, as its authorized official.

NPPES Registry Identity

NPI1629598750
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGENESIS DENTAL GROUP SMILES ON 11TH LLC
Location Address1010 W 11TH STPanama City, FL 32401-2042
Mailing Address3150 Zelda CtMontgomery, AL 36106-2607 · (334) 676-2320 · Fax (334) 593-2724
Phone(850) 763-3622
Organization SubpartNo
Authorized OfficialSusan StewartManager · (334) 676-2320
Enumeration DateJune 20, 2017
✔ NPI 1629598750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1010 W 11TH ST, Panama City, FL 32401
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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

Other Providers at the Same Location NPPES 3

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

FOREST PARK SMILES ON 11TH, PLLC
Dentist (General Practice)
1010 W 11TH ST
PANAMA CITY, FL 32401
Bay County (850) 763-3622
JAMES HUGH MULLINS D.M.D.
Dentist
1010 W 11TH ST
PANAMA CITY, FL 32401
Bay County (850) 763-3622
JAMES H MULLINS D.M.D. PA
Clinic/Center (Dental)
1010 W 11TH ST
PANAMA CITY, FL 32401
Bay County (850) 763-3622

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 Genesis Dental Group Smiles On 11th LLC's NPI number?

The NPI number for Genesis Dental Group Smiles On 11th LLC is 1629598750. It was assigned to this organization in the NPPES registry on June 20, 2017.

Where is Genesis Dental Group Smiles On 11th LLC located?

Genesis Dental Group Smiles On 11th LLC is located at 1010 W 11th St, Panama City, FL 32401. The listed phone number is (850) 763-3622.

What is Genesis Dental Group Smiles On 11th LLC'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 Genesis Dental Group Smiles On 11th LLC was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.