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719 Bayshore Dr Niceville FL 32578-2546 | |
| (850) 678-6485 | |
| (850) 678-5245 |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 719 Bayshore Dr, Niceville, Florida |
| Authorized Official Name and Position | Patricia R Francisco (OWNER,PRESIDENT) |
| Authorized Official Contact | 8506786485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
719 Bayshore Dr Niceville FL 32578-2546 Ph: (850) 678-6485 | 719 Bayshore Dr Niceville FL 32578-2546 Ph: (850) 678-6485 |
| NPI Number | 1437201712 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437201712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN0008574 (Florida) | Primary |
Leah Thompson Gagnon, D.m.d, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4550 Highway 20 East, Suite C, Niceville, FL 32578 Phone: 850-897-1100 | |
Emerald Coast Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Bayshore Drive, Niceville, FL 32578 Phone: 850-678-6485 | |
Harper Family Dentisty, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Palm Blvd S, Niceville, FL 32578 Phone: 850-729-1223 |