| Emerald Coast Periodontics | |
|
719 Bayshore Drive Niceville FL 32578 | |
| (850) 678-6485 | |
| Not Available |
| Full Name | Emerald Coast Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 719 Bayshore Drive, Niceville, Florida |
| Authorized Official Name and Position | Martin M Woolsey (PERIODONTIST) |
| Authorized Official Contact | 8506786485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Periodontics 719 Bayshore Drive Niceville FL 32578 Ph: () - | Emerald Coast Periodontics 719 Bayshore Drive Niceville FL 32578 Ph: (850) 678-6485 |
| NPI Number | 1306223888 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306223888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN21004 (Florida) | Primary |
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