Leah Thompson Gagnon, D.m.d, P.a.

NPI 1023177094 - Dentist - 122300000X

NPI Details
NPI 1023177094
Enumeration Date 12/06/2006
Last Updated 01/25/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEAH THOMPSON LEAH
Position DOCTOR OF DENTAL MEDICINE
Phone (850) 897-1100
Fax
Practice Location
4550 HIGHWAY 20 EAST
SUITE C
NICEVILLE FL, 32578, US
Phone (850) 897-1100
Fax
Business Location
4550 HIGHWAY 20 EAST
SUITE C
NICEVILLE FL, 32578, US
Phone (850) 897-1100
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN 17297
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According to our database, Leah Thompson Gagnon, D.m.d, P.a. NPI is 1023177094, taxonomy code is 122300000X and license number is DN 17297, license state is located at Florida. Leah Thompson Gagnon, D.m.d, P.a. physically located at 4550 Highway 20 East, Niceville FL, 32578. NPI Number 1033115704 has the healthcare provider type.

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1023177094 NPI number is provided on an as is basis without warranty of any kind. 1023177094 is maintained by the National Plan & Provider Enumeration System. The contents of Leah Thompson Gagnon, D.m.d, P.a. are for informational purposes only.