| Miramar Beach Dental & Orthodontics | |
|
77 South Shore Drive Miramar Beach FL 32550 | |
| (850) 650-2070 | |
| (850) 650-2073 |
| Full Name | Miramar Beach Dental & Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 77 South Shore Drive, Miramar Beach, Florida |
| Authorized Official Name and Position | Danielle S Daugherty (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8506502070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramar Beach Dental & Orthodontics 77 S Shore Dr Miramar Beach FL 32550-4967 Ph: (850) 650-2070 | Miramar Beach Dental & Orthodontics 77 South Shore Drive Miramar Beach FL 32550 Ph: (850) 650-2070 |
| NPI Number | 1093051344 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093051344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17784 (Florida) | Primary |
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