Healthcare Provider Details

I. General information

NPI: 1972676039
Provider Name (Legal Business Name): TURNER PAUL EMERY M.D., D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

9924 SW 52ND RD
GAINESVILLE FL
32608-7105
US

V. Phone/Fax

Practice location:
  • Phone: 325-265-0111
  • Fax:
Mailing address:
  • Phone: 352-256-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDRP115
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: