| Emerald Coast Dental Sleep Medicine Inc | |
|
900 Thomas Dr Panama City Beach FL 32408-7442 | |
| (850) 249-9331 | |
| (850) 249-9332 |
| Full Name | Emerald Coast Dental Sleep Medicine Inc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 900 Thomas Dr, Panama City Beach, Florida |
| Authorized Official Name and Position | Tara M Griffin (CEO) |
| Authorized Official Contact | 8502499311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Dental Sleep Medicine Inc 900 Thomas Dr Panama City Beach FL 32408-7442 Ph: (850) 249-9331 | Emerald Coast Dental Sleep Medicine Inc 900 Thomas Dr Panama City Beach FL 32408-7442 Ph: (850) 249-9331 |
| NPI Number | 1366716490 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 01/13/2020 |
| Medicare PECOS PAC ID | 3870756604 |
|---|---|
| Medicare Enrollment ID | O20120515000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366716490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | DN17668 (Florida) | Primary |
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