1. Home
  2. Directory
  3. Florida
  4. Destin
  5. Dentist
  6. NPI Profile

DESTIN DENTAL CARE LLC
NPI 1821623901
Dentist - General Practice in Destin, FL

Active since March 09, 2020
985 AIRPORT ROAD, DESTIN, FL 32541(850) 837-6645(850) 650-8553 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Destin Dental Care Llc NPPES

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

DESTIN DENTAL CARE LLC (NPI 1821623901) is a healthcare organization registered as a general practice in Destin, Florida and active in the NPI registry since March 2020. The organization lists Henry Paul Kellum, Owner, as its authorized official.

NPPES Registry Identity

NPI1821623901
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDESTIN DENTAL CARE LLC
Location Address985 AIRPORT ROADDestin, FL 32541-2835
Mailing Address985 Airport RoadDestin, FL 32541-2835 · (850) 837-6645 · Fax (850) 650-8553
Phone(850) 837-6645
Fax(850) 650-8553
Organization SubpartNo
Authorized OfficialHenry Paul KellumOwner · (850) 837-6645
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1821623901 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.
985 AIRPORT ROAD, Destin, FL 32541
Open in Google Maps ↗

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 Destin Dental Care LLC's NPI number?

The NPI number for Destin Dental Care LLC is 1821623901. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Destin Dental Care LLC located?

Destin Dental Care LLC is located at 985 Airport Road, Destin, FL 32541. The listed phone number is (850) 837-6645.

What is Destin Dental Care 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 Destin Dental Care LLC was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.