| Panhandle Pediatric Dentistry | |
|
3123 W 23rd St Panama City FL 32405-1828 | |
| (850) 481-1969 | |
| (850) 481-1972 |
| Full Name | Panhandle Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3123 W 23rd St, Panama City, Florida |
| Authorized Official Name and Position | Stephen Eric Berry (PRESIDENT) |
| Authorized Official Contact | 8504811969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Pediatric Dentistry 3123 W 23rd St Panama City FL 32405-1828 Ph: (850) 481-1969 | Panhandle Pediatric Dentistry 3123 W 23rd St Panama City FL 32405-1828 Ph: (850) 481-1969 |
| NPI Number | 1972855773 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972855773 | NPI | - | NPPES |
| 1699889352 | Other | NPI TYPE 1 FOR STEPHEN E BERRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN16280 (Florida) | Primary |
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