| Shalimar Family Dentistry | |
|
1 Eleventh Avenue D-3 Shalimar FL 32579 | |
| (850) 651-6700 | |
| (850) 609-0796 |
| Full Name | Shalimar Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Eleventh Avenue, Shalimar, Florida |
| Authorized Official Name and Position | Lisa Fletcher (OWNER) |
| Authorized Official Contact | 8506516700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalimar Family Dentistry 1 Eleventh Avenue D-3 Shalimar FL 32579 Ph: (850) 651-6700 | Shalimar Family Dentistry 1 Eleventh Avenue D-3 Shalimar FL 32579 Ph: (850) 651-6700 |
| NPI Number | 1932111564 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932111564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
North Florida Medical Centers, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Holly Ave, Shalimar, FL 32579 Phone: 850-423-4603 | |
Oral And Maxillofacial Surgery Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Clifford Dr, Shalimar, FL 32579 Phone: 850-651-6882 Fax: 850-651-6692 |