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

Lake Erie College of Osteopathic Medicine

Organization Public Health Dentistry · NPI 1710422670

Lake Erie College of Osteopathic Medicine is a Public Health Dentistry in Defuniak Springs, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

101 Lecom Way
Defuniak Springs, FL 32435-6323
Phone: (850) 951-0200
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Public Health Dentistry Taxonomy 1223D0001X (FL)

Record details

NPI number1710422670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Inman — Vp Fiscal Affairs/Cfo · (814) 868-8258
NPI enumeratedJanuary 3, 2017
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address1858 W Grandview Blvd, Erie, PA 16509-1025