| Bluewater Bay Dental, Pa | |
|
4400 E Highway 20 Ste 101 Niceville FL 32578-9735 | |
| (850) 897-4488 | |
| Not Available |
| Full Name | Bluewater Bay Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4400 E Highway 20 Ste 101, Niceville, Florida |
| Authorized Official Name and Position | Olivier Broutin (DIRECTOR) |
| Authorized Official Contact | 8508974488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluewater Bay Dental, Pa 4400 E Highway 20 Ste 101 Niceville FL 32578-9735 Ph: (850) 897-4488 | Bluewater Bay Dental, Pa 4400 E Highway 20 Ste 101 Niceville FL 32578-9735 Ph: (850) 897-4488 |
| NPI Number | 1104294669 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 03/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104294669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15111 (Florida) | Primary |
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Emerald Coast Periodontics, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Bayshore Dr, Niceville, FL 32578 Phone: 850-678-6485 Fax: 850-678-5245 |