| Emerald Coast Dentistry | |
|
931 Mar Walt Dr Fort Walton Beach FL 32547-6759 | |
| (850) 863-1722 | |
| (850) 863-5189 |
| Full Name | Emerald Coast Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 931 Mar Walt Dr, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Erin Beth Sutton (PRESIDENT) |
| Authorized Official Contact | 8508631722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Dentistry 931 Mar Walt Dr Fort Walton Beach FL 32547-6759 Ph: (850) 863-1722 | Emerald Coast Dentistry 931 Mar Walt Dr Fort Walton Beach FL 32547-6759 Ph: (850) 863-1722 |
| NPI Number | 1639210131 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639210131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN14952 (Florida) | Primary |
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