| Seacrest Dental | |
|
5399 E County Highway 30a Santa Rosa Beach FL 32459-6717 | |
| (850) 231-3736 | |
| Not Available |
| Full Name | Seacrest Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5399 E County Highway 30a, Santa Rosa Beach, Florida |
| Authorized Official Name and Position | Fred Ruder (OWNER) |
| Authorized Official Contact | 8502313736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seacrest Dental 5399 E County Highway 30a Santa Rosa Beach FL 32459-6717 Ph: () - | Seacrest Dental 5399 E County Highway 30a Santa Rosa Beach FL 32459-6717 Ph: (850) 231-3736 |
| NPI Number | 1366844854 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366844854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 20813 (Florida) | Primary |
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