Lake Erie College of Osteopathic Medicine

Organization Public Health Dentistry · NPI 1710422670

Lake Erie College of Osteopathic Medicine provides Public Health Dentistry in Defuniak Springs, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in: FL
In the registry since: 2017
Specialties on file: 2

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Practice location Address checks out

101 Lecom Way
Defuniak Springs, FL 32435-6323
Phone: (850) 951-0200

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary)	Taxonomy 1223G0001X
Public Health Dentistry	Taxonomy 1223D0001X (FL)

Record details

NPI number	1710422670
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Steven Inman — Vp Fiscal Affairs/Cfo · (814) 868-8258
NPI enumerated	January 3, 2017
Last updated in NPPES	May 24, 2023
Certification date	May 24, 2023
Mailing address	1858 W Grandview Blvd, Erie, PA 16509-1025