Emerald Coast Dentistry in Fort Walton Beach - Dentist
Emerald Coast Dentistry - NPI 1639210131
Emerald Coast Dentistry is a Dentist in Fort Walton Beach, Florida. Emerald Coast Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Emerald Coast Dentistry is 1639210131. The last update date is 2020-08-22.
Emerald Coast Dentistry's current location address is 931 Mar Walt Dr, Fort Walton Beach, Florida. You can contact this provider via phone number 8508631722 and fax number 8508635189. The mailing address for Emerald Coast Dentistry is 931 Mar Walt Dr, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Emerald Coast Dentistry |
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Address | 931 Mar Walt Dr, Fort Walton Beach, Florida |
Phone Number | 8508631722 |
Fax Number | 8508635189 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Sutton Beth Erin |
Credentials | DMD |
Telephone Number | 8508631722 |
NPI Number Detail
NPI Number | 1639210131 |
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Provider Enumeration Date | 2007-02-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 931 Mar Walt Dr |
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City | Fort Walton Beach |
State | Florida (FL) |
Post Code | 325476759 |
Phone Number | 8508631722 |
Fax Number | 8508635189 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DN14952 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Emerald Coast Dentistry by the Centers for Medicare & Medicaid Services?
The Emerald Coast Dentistry has been assigned the NPI (National Provider Identifier) 1639210131 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Emerald Coast Dentistry's facilities are geographically located?
The facilities of Emerald Coast Dentistry are physically situated at the following location: 931 Mar Walt Dr, Fort Walton Beach, FL, 325476759.
What is Emerald Coast Dentistry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Emerald Coast Dentistry is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639210131 to Emerald Coast Dentistry?
The Centers for Medicare & Medicaid Services originally issued the 1639210131 to Emerald Coast Dentistry on 2007-02-09.
As of what date were the details pertaining to Emerald Coast Dentistry last refreshed?
The information related to the Emerald Coast Dentistry, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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