Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Dental Clinic Pl

Organization General Practice Dentistry · NPI 1629045489

Avalon Dental Clinic Pl is a General Practice Dentistry in Milton, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

4272 Avalon Blvd
Milton, FL 32583-2858
Phone: (850) 626-6100
Fax: (850) 626-6161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN15481 (FL)

Record details

NPI number1629045489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anissa Rodriquez-Ottley — Owner · (850) 626-6100
NPI enumeratedMarch 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4272 Avalon Boulevard, Milton, FL 32583-2858

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