| Cedar Pearl Dental, LLC | |
|
222 Cedar Ave Crestview FL 32536-2706 | |
| (850) 682-2720 | |
| Not Available |
| Full Name | Cedar Pearl Dental, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 222 Cedar Ave, Crestview, Florida |
| Authorized Official Name and Position | Daniel S White (SOLE MEMBER) |
| Authorized Official Contact | 3163238745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Pearl Dental, LLC 114 Wedgewood Ct Crestview FL 32536-8405 Ph: (316) 323-8745 | Cedar Pearl Dental, LLC 222 Cedar Ave Crestview FL 32536-2706 Ph: (850) 682-2720 |
| NPI Number | 1902790348 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902790348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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