| Pensacola Periodontics And Implant Dentistry | |
|
4357 Spanish Trl Pensacola FL 32504-4942 | |
| (850) 433-1543 | |
| (850) 433-1564 |
| Full Name | Pensacola Periodontics And Implant Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4357 Spanish Trl, Pensacola, Florida |
| Authorized Official Name and Position | Judy Noble (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8504331543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pensacola Periodontics And Implant Dentistry 4357 Spanish Trl Pensacola FL 32504-4942 Ph: (850) 433-1543 | Pensacola Periodontics And Implant Dentistry 4357 Spanish Trl Pensacola FL 32504-4942 Ph: (850) 433-1543 |
| NPI Number | 1194312975 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194312975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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