Sandy Smiles, Pllc | |
824 Eglin Pkwy Ne Fort Walton Beach FL 32547-2530 | |
(850) 244-3880 | |
Not Available |
Full Name | Sandy Smiles, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 824 Eglin Pkwy Ne, Fort Walton Beach, Florida |
Authorized Official Name and Position | Morgan Marion Zwickel (OWNER) |
Authorized Official Contact | 7248164548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sandy Smiles, Pllc 150 Latonka Dr Mercer PA 16137-9360 Ph: (724) 816-4548 | Sandy Smiles, Pllc 824 Eglin Pkwy Ne Fort Walton Beach FL 32547-2530 Ph: (850) 244-3880 |
NPI Number | 1659094548 |
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Provider Enumeration Date | 09/26/2022 |
Last Update Date | 09/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659094548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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