Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346687373 Individual Practitioner Female Practitioner

Dr. Lisa Darbonne Rackley , DDS

Dentist - General Practice • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Rackley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eglin Afb, FL. Practice services are available at 96TH MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

96th Medical Group
307 Boatner Road

Eglin Afb, FL 32542

Telephone 8508839957

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Eglin Afb, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License LA 3672

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1083804421

Doctor of Medicine (M.D.)

Dr. Aaron Henderson , DO

Internal Medicine - Hematology & Oncology

NPI 1316231129

Doctor of Osteopathic Medicine (D.O.)

Carolyn Space , CNP

Nurse Practitioner

NPI 1336553585

Certified Nurse Practitioner

Dr. Nicola Sing , MD

Family Medicine

NPI 1457571408

Doctor of Medicine (M.D.)

James Hatten

Emergency Medicine

NPI 1730620998

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 20, 2019

Registered at 96TH MEDICAL GROUP, 307 BOATNER ROAD, EGLIN AFB, FL 32542 (Tel: 8508839957)

📍
Updated Business Mailing Address February 20, 2019

Registered at 96TH MEDICAL GROUP, 307 BOATNER ROAD, STE 113, EGLIN AFB, FL 32542 (Tel: 8508839957)

NPI Profile Active April 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2015

Registered at 810 E JAMES LEE BLVD, CRESTVIEW, FL 325393118 (Tel: 8506897808)

📍
Updated Business Mailing Address April 22, 2015

Registered at 810 E JAMES LEE BLVD, CRESTVIEW, FL 325393118 (Tel: 8506897808)

👤
Provider Name / Credentials Updated April 22, 2015

Recorded as LISA RACKLEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2015

Dentist (License #3672 in LA)

🟢
Initial NPI Registration & Enumeration May 31, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346687373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2013
Last Update: February 20, 2019
Sole Proprietor: No

Mailing Address

96th Medical Group, 307 Boatner Road, Ste 113

Eglin Afb, FL 32542

Phone: 8508839957

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.