Individual provider · Type 1 NPI

Madison Amspacker

Dentist · Eglin Afb, FL

NPI number 1104760941 Active

Practice location

340 Boatner Rd
Eglin Afb, FL 32542-1391

Mailing address

340 Boatner Rd Bldg 2751
Eglin Afb, FL 32542-1391

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14295570-9926 (UT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104760941

Madison Amspacker's National Provider Identifier is 1104760941, issued on Apr 14, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Eglin Afb, FL. The record was last updated on Aug 1, 2026.