| Chadwick J Marshall Dmd Md Pa Dba Gulf Coast Facial And Oral Surgery | |
|
105 Hollywood Blvd Ne Fort Walton Beach FL 32548-4922 | |
| (850) 269-7550 | |
| Not Available |
| Full Name | Chadwick J Marshall Dmd Md Pa Dba Gulf Coast Facial And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 105 Hollywood Blvd Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Chadwick Marshall (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8502697550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chadwick J Marshall Dmd Md Pa Dba Gulf Coast Facial And Oral Surgery 105 Hollywood Blvd Ne Fort Walton Beach FL 32548-4922 Ph: () - | Chadwick J Marshall Dmd Md Pa Dba Gulf Coast Facial And Oral Surgery 105 Hollywood Blvd Ne Fort Walton Beach FL 32548-4922 Ph: (850) 269-7550 |
| NPI Number | 1730951435 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730951435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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