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ADVANTAGE DENTAL PLUS
NPI 1659011948
Dentist - General Practice in Ft Walton Bch, FL

Active since April 01, 2022CLIA 10D2283268 · Waiver
99 EGLIN PKWY NE STE 28, FT WALTON BCH, FL 32548(850) 749-6069 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advantage Dental Plus NPPES

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

ADVANTAGE DENTAL PLUS (NPI 1659011948) is a healthcare organization registered as a general practice in Ft Walton Bch, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Sherrie Edmondson, Smanager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1659011948
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
Location Address99 EGLIN PKWY NE STE 28Ft Walton Bch, FL 32548-4284
Mailing Address3322 W End Ave Ste 400Nashville, TN 37203-6805 · (629) 999-5014
Phone(850) 749-6069
Organization SubpartNo
Authorized OfficialSherrie EdmondsonSmanager, Licensing & Credentialing · (629) 999-5014
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1659011948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentistTaxonomy 122300000X
99 EGLIN PKWY NE STE 28, Ft Walton Bch, FL 32548
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Other Names 1

Doing Business AsAdvantage Dental Plus

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2283268

Advantage Dental Oral Health Center Of Fl PA · Fort Walton Beach, FL
Active · expires Jun 4, 2027
CLIA Number10D2283268
Laboratory TypeDental Practice
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorNeil Williams
Laboratory Phone(541) 527-0118
Laboratory LocationAdvantage Dental Oral Health Center Of Fl PA99 Eglin Parkway NE Suite 28, Fort Walton Beach, FL 32548
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Advantage Dental Oral Health Center Of Florida PA's NPI number?

The NPI number for Advantage Dental Oral Health Center Of Florida PA is 1659011948. It was assigned to this organization in the NPPES registry on April 1, 2022. The provider is doing business as Advantage Dental Plus.

Where is Advantage Dental Oral Health Center Of Florida PA located?

Advantage Dental Oral Health Center Of Florida PA is located at 99 Eglin Pkwy NE Ste 28, Ft Walton Bch, FL 32548. The listed phone number is (850) 749-6069.

What is Advantage Dental Oral Health Center Of Florida PA's specialty?

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

Does Advantage Dental Oral Health Center Of Florida PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2283268) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advantage Dental Oral Health Center Of Florida PA was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.