| Surfside Orthodontics Pa | |
|
28 Racetrack Rd Nw Fort Walton Beach FL 32547-1640 | |
| (850) 863-2122 | |
| (850) 863-5812 |
| Full Name | Surfside Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 28 Racetrack Rd Nw, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Brodie Bowman (OWNER) |
| Authorized Official Contact | 8508632122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Orthodontics Pa 28 Racetrack Rd Nw Fort Walton Beach FL 32547-1640 Ph: (850) 863-2122 | Surfside Orthodontics Pa 28 Racetrack Rd Nw Fort Walton Beach FL 32547-1640 Ph: (850) 863-2122 |
| NPI Number | 1205176021 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205176021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 16286 (Florida) | Primary |
Laya Sleep Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Miracle Strip Pkwy Sw Ste 15a, Fort Walton Beach, FL 32548 Phone: 850-865-5709 | |
Sand Dollar Dental, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Hollywood Blvd Se, Fort Walton Beach, FL 32548 Phone: 850-712-2307 | |
Patrick Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Yacht Club Drive Ne, Fort Walton Beach, FL 32548 Phone: 850-243-7977 Fax: 850-244-1860 | |
Coastal Periodontics Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Beal Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-862-6666 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 Phone: 850-659-3119 Fax: 850-243-0245 | |
Bartlett Family And Cosmetic Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-243-8124 |