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

Pensacola Patriot Dental PLLC

Organization Dental Clinic/Center · NPI 1629742226

Pensacola Patriot Dental PLLC is a Dental Clinic/Center in Pensacola, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4627 N Davis Hwy Ste A
Pensacola, FL 32503-2364
Phone: (850) 477-1120
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1629742226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lisonbee — Ceo · (850) 758-1844
Other names Patriot Dental
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address4627 N Davis Hwy Ste A, Pensacola, FL 32503-2364

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