MEDICARE: PANAMA CITY FAMILY DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1326936402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANAMA CITY FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	4126 FOREST GLEN DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5213
Country	:	US
Telephone Number	:	423-762-2988
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N STAR AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-7615
Country	:	US
Telephone Number	:	423-762-2988
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID SAPALA
Credential	:	DMD
Telephone Number	:	423-762-2988

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

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Directions to “PANAMA CITY FAMILY DENTISTRY ” Practice Location

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