Emerald Coast Periodontics, P.A. in Niceville - Periodontics
Emerald Coast Periodontics, P.A. - NPI 1437201712
Emerald Coast Periodontics, P.A. is a Periodontics in Niceville, Florida. Emerald Coast Periodontics, P.A. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Emerald Coast Periodontics, P.A. is 1437201712. The last update date is 2020-08-22.
Emerald Coast Periodontics, P.A.'s current location address is 719 Bayshore Dr, Niceville, Florida. You can contact this provider via phone number 8506786485 and fax number 8506785245. The mailing address for Emerald Coast Periodontics, P.A. is 719 Bayshore Dr, Niceville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emerald Coast Periodontics, P.A. |
|---|---|
| Address | 719 Bayshore Dr, Niceville, Florida |
| Phone Number | 8506786485 |
| Fax Number | 8506785245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER,PRES |
|---|---|
| Authorized Official Name | Francisco R Patricia |
| Credentials | D.M.D. |
| Telephone Number | 8506786485 |
NPI Number Detail
| NPI Number | 1437201712 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 719 Bayshore Dr |
|---|---|
| City | Niceville |
| State | Florida (FL) |
| Post Code | 325782546 |
| Phone Number | 8506786485 |
| Fax Number | 8506785245 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN0008574 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Emerald Coast Periodontics, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Emerald Coast Periodontics, P.A. has been assigned the NPI (National Provider Identifier) 1437201712. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Emerald Coast Periodontics, P.A. located?
The Emerald Coast Periodontics, P.A. is located at 719 Bayshore Dr, Niceville, FL 325782546.
What is Emerald Coast Periodontics, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Emerald Coast Periodontics, P.A. is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When did the Emerald Coast Periodontics, P.A. receive its 1437201712?
The Emerald Coast Periodontics, P.A. was issued its 1437201712 on 2007-01-17, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Emerald Coast Periodontics, P.A. most recently updated or revised?
The details related to Emerald Coast Periodontics, P.A., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.