| Beach Dental Studio | |
|
8730 Thomas Dr Ste 1102 Panama City Beach FL 32408-4757 | |
| (850) 234-2110 | |
| Not Available |
| Full Name | Beach Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8730 Thomas Dr Ste 1102, Panama City Beach, Florida |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Dental Studio 8730 Thomas Dr Ste 1102 Panama City Beach FL 32408-4757 Ph: (850) 234-2110 | Beach Dental Studio 8730 Thomas Dr Ste 1102 Panama City Beach FL 32408-4757 Ph: (850) 234-2110 |
| NPI Number | 1942716766 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942716766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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