Alec Floyd Redfearn Jr., DDS

General Practice Dentistry · Live Oak, FL

Individual Active NPI

NPI number 1629255799

Practice location

931 North Ohio Avenue
Live Oak, FL 32064
Phone
(386) 362-1646
Fax
(386) 362-6167

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NPI record

NPI
1629255799
Entity type
Individual (Type 1)
Enumeration date
January 30, 2008
Last updated
January 30, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN9900 FL

Mailing address

PO Box 758
Live Oak, FL 32064
Phone
(386) 362-1646
Fax
(386) 362-6167

About Dr. Redfearn

Alec Floyd Redfearn Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 931 North Ohio Avenue, Live Oak, FL 32064. The NPI number 1629255799 was assigned on January 30, 2008 and the record was last updated on January 30, 2008.

Dr. Redfearn lists a license in the registry: #DN9900 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alec Floyd Redfearn Jr., DDS?

The NPI number is 1629255799.

What is the phone number of Dr. Redfearn?

The phone number listed for the practice location is (386) 362-1646.

Where is Dr. Redfearn located?

931 North Ohio Avenue, Live Oak, FL 32064.

What is the taxonomy code for Dr. Redfearn?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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