| Destin Dental Group | |
|
10510 Hutchison Blvd Panama City Beach FL 32407-3836 | |
| (850) 234-7080 | |
| Not Available |
| Full Name | Destin Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10510 Hutchison Blvd, Panama City Beach, Florida |
| Authorized Official Name and Position | Benjamin Grooters (DENTIST/OWNER) |
| Authorized Official Contact | 8502347080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destin Dental Group 10510 Hutchison Blvd Panama City Beach FL 32407-3836 Ph: (850) 234-7080 | Destin Dental Group 10510 Hutchison Blvd Panama City Beach FL 32407-3836 Ph: (850) 234-7080 |
| NPI Number | 1275036642 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275036642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN17955 (Florida) | Primary |
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