| Trae Pappas DDS P.A. | |
|
5170 S Ferdon Blvd Crestview FL 32536-9258 | |
| (850) 689-2332 | |
| Not Available |
| Full Name | Trae Pappas DDS P.A. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5170 S Ferdon Blvd, Crestview, Florida |
| Authorized Official Name and Position | Trae Harbeson Pappas (OWNER/PRESIDENT) |
| Authorized Official Contact | 8506858461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trae Pappas DDS P.A. 5170 S Ferdon Blvd Crestview FL 32536-9258 Ph: (850) 689-2332 | Trae Pappas DDS P.A. 5170 S Ferdon Blvd Crestview FL 32536-9258 Ph: (850) 689-2332 |
| NPI Number | 1336748946 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336748946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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