PENSACOLA PATRIOT DENTAL PLLC
NPI 1629742226
Clinic/Center - Dental in Pensacola, FL

Active since August 06, 2021
4627 N DAVIS HWY STE A, PENSACOLA, FL 32503(850) 477-1120 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pensacola Patriot Dental Pllc NPPES

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

PENSACOLA PATRIOT DENTAL PLLC (NPI 1629742226), doing business as Patriot Dental, is a healthcare organization registered as a dental in Pensacola, Florida and active in the NPI registry since August 2021. The organization lists John Keith Lisonbee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629742226
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePENSACOLA PATRIOT DENTAL PLLC
Location Address4627 N DAVIS HWY STE APensacola, FL 32503-2364
Mailing Address4627 N Davis Hwy Ste APensacola, FL 32503-2364 · (850) 477-1120
Organization SubpartNo
Authorized OfficialJohn Keith LisonbeeCeo · (850) 758-1844
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
NPI 1629742226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4627 N DAVIS HWY STE A, Pensacola, FL 32503

Other Names 1

Doing Business AsPatriot Dental

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4627 N DAVIS HWY STE A
PENSACOLA, FL 32503

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 Pensacola Patriot Dental PLLC's NPI number?

The NPI number for Pensacola Patriot Dental PLLC is 1629742226. It was assigned to this organization in the NPPES registry on August 6, 2021. The provider is doing business as Patriot Dental.

Where is Pensacola Patriot Dental PLLC located?

Pensacola Patriot Dental PLLC is located at 4627 N Davis Hwy Ste A, Pensacola, FL 32503. The listed phone number is (850) 477-1120.

What is Pensacola Patriot Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pensacola Patriot Dental PLLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.