DESTIN DENTAL CENTER
NPI 1033525431
Clinic/Center - Dental in Destin, FL

NPI Status: Active since July 07, 2014

Contact Information

985 AIRPORT RD
DESTIN, FL
ZIP 32541
Phone: (850) 837-6645
Fax: (850) 650-8553

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  • Organization
  • Clinic/Center
  • Dental

About DESTIN DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Destin Dental Center, a provider established in Destin, Florida operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1033525431 assigned on July 2014. The practitioner's primary taxonomy code is 261QD0000X with license number 10931 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Destin Dental Center. The authorized official of this NPI record is Dr. Henry Paul Kellum D.d.s. (Owner)

NPI
1033525431
Provider Legal Name
PAUL KELLUM, DDS
Other Organization Name
DESTIN DENTAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
985 AIRPORT RD DESTIN, FL 32541
Location Phone
(850) 837-6645
Location Fax
(850) 650-8553
Mailing Address
985 AIRPORT RD DESTIN, FL 32541
Mailing Phone
(850) 837-6645
Mailing Fax
(850) 650-8553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2014
Last Update Date
07-07-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
10931
License State
FL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. HENRY PAUL KELLUM D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(850) 837-6645

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033525431
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631021046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 2 + 1 + 0 + 4 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1033525431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780753673 HENRY PAUL KELLUM D.D.S.
Individual
Dentist (General Practice)985 AIRPORT RD
DESTIN, FL 32541
(850) 837-6645
1982270708 CRAIG A LAZENBY DMD
Individual
Dentist (General Practice)985 AIRPORT RD
DESTIN, FL 32541
(850) 988-1777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033525431, enumerated in the NPI registry as an "organization" on July 07, 2014

The provider is located at 985 Airport Rd Destin, Fl 32541 and the phone number is (850) 837-6645

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on July 07, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.