Whalio Doctors

NPI 1326408063

Nathaniel Criddle, DMD

Practitioner General Practice Dentistry Tyndall Afb, FL

Practice location

Address
325 Aerospace Medicine Sq/Sgpd 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403
Phone
(850) 283-7444
Mailing address
325 Aerospace Medicine Sq/Sgpd 340 Magnolia Circle Bldg 1465, Lynn Haven, FL 32444

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 6890593-9922 (UT)

Registry record

NPI
1326408063
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Feb 2016
Record last updated
5 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.