DR. ALEC FLOYD REDFEARN JR. (NPI# 1629255799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629255799 |
| Entity Type | Individual |
| Full Name | DR. ALEC FLOYD REDFEARN JR. |
| Credential | DDS |
| Practice Address |
931 North Ohio Avenue Live Oak FL 32064 |
| Mailing Address |
Po Box 758 Live Oak FL 32064 |
| Practice Telephone | 3863621646 |
| Practice Fax Number | 3863626167 |
| Mailing Telephone | 3863621646 |
| Mailing Fax Number | 3863626167 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN9900 | FL | Dental Providers |
| Street Address |
931 NORTH OHIO AVENUE |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
| 1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| 1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
| 1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
| 1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
| 1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
| 1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
| 1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
| 1699701524 | Dennis M Lewis | Surgery | 1116 11th St Sw, Live Oak, FL 32064 | 2006-06-23 |
| Find all providers in zip 32064 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649414129 | Goodman Family Dental | Dentist | 8204 Pat Booker Rd, Live Oak, TX 78233-2440 | 2009-04-28 |
| 1104090943 | Smile Designs By Dr. Charlotte Gerry L/o | Dentist | 530 Howard St E, Live Oak, FL 32064-3306 | 2008-04-14 |
| 1366512113 | Herbert C Mantooth | Dentist | 602 Railroad Ave Se, Live Oak, FL 32064-3418 | 2006-11-09 |
| 1497774624 | Harold Ramsey Arthur Jr. | Dentist | 1009 11th St Sw, Live Oak, FL 32064-3605 | 2006-07-19 |
| 1548216385 | John Hoey Bonura | Dentist | 20714 168th St, Live Oak, FL 32060-5285 | 2006-05-25 |
| 1538162425 | Bruce M Pope | Dentist | 9900 Larkin Rd, Live Oak, CA 95953-2442 | 2005-05-24 |
| 1336437441 | Sara Elizabeth Mclin | Dentist | 8204 Pat Booker Rd, Live Oak, TX 78233-2440 | 2011-07-11 |
| 1619069432 | Harold R. Arthur, Dmd, Pa | Dentist | 1009 11th St Sw, Live Oak, FL 32064-3605 | 2006-09-29 |
| 1316047566 | Kenneth Omer Livingston Jr. | Dentist | 11901 Toepperwein Rd, Suite 1104, Live Oak, TX 78233-3161 | 2006-09-25 |
| 1215958343 | Charles Ned Sannar | Dentist | 9900 Larkin Rd, Live Oak, CA 95953-2442 | 2006-07-22 |
| Find all providers in LIVE OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.