| Oral Surgery & Dental Implant Center Of Panama City, Pllc | |
|
2624 Jenks Ave Panama City FL 32405-4311 | |
| (850) 215-0798 | |
| Not Available |
| Full Name | Oral Surgery & Dental Implant Center Of Panama City, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2624 Jenks Ave, Panama City, Florida |
| Authorized Official Name and Position | Eric R. Claussen (PARTNER) |
| Authorized Official Contact | 4074084880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery & Dental Implant Center Of Panama City, Pllc 2624 Jenks Ave Panama City FL 32405-4311 Ph: (850) 215-0798 | Oral Surgery & Dental Implant Center Of Panama City, Pllc 2624 Jenks Ave Panama City FL 32405-4311 Ph: (850) 215-0798 |
| NPI Number | 1235976994 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 5597288126 |
|---|---|
| Medicare Enrollment ID | O20250325001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235976994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Eric Richard Claussen |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194983965 PECOS PAC ID: 2466636956 Enrollment ID: I20110407000218 |
| Provider Name | Matthew B Brinker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1033567367 PECOS PAC ID: 7810282894 Enrollment ID: I20250325002830 |
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