Provider Demographics
NPI:1326936402
Name:PANAMA CITY FAMILY DENTISTRY
Entity type:Organization
Organization Name:PANAMA CITY FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPALA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:423-762-2988
Mailing Address - Street 1:4126 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5213
Mailing Address - Country:US
Mailing Address - Phone:423-762-2988
Mailing Address - Fax:
Practice Address - Street 1:200 N STAR AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-7615
Practice Address - Country:US
Practice Address - Phone:423-762-2988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental