| Aspen Dental | |
|
516 Mary Esther Blvd Ste 2 Fort Walton Beach FL 32548 | |
| (850) 659-3119 | |
| (850) 243-0245 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental 516 Mary Esther Blvd Ste 2 Fort Walton Beach FL 32548 Ph: (850) 659-3119 | Aspen Dental 516 Mary Esther Blvd Ste 2 Fort Walton Beach FL 32548 Ph: (850) 659-3119 |
| NPI Number | 1265808455 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265808455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20980 (Florida) | Primary |
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