| Seabreeze Endodontics, Pa | |
|
4579 E Highway 20 Ste 220 Niceville FL 32578-9808 | |
| (850) 424-7368 | |
| Not Available |
| Full Name | Seabreeze Endodontics, Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4579 E Highway 20 Ste 220, Niceville, Florida |
| Authorized Official Name and Position | Shane Robert Hanson (PRESIDENT) |
| Authorized Official Contact | 8504247368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seabreeze Endodontics, Pa 4579 E Highway 20 Ste 220 Niceville FL 32578-9808 Ph: (850) 424-7368 | Seabreeze Endodontics, Pa 4579 E Highway 20 Ste 220 Niceville FL 32578-9808 Ph: (850) 424-7368 |
| NPI Number | 1457914129 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457914129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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