Individual provider · Type 1 NPI

Shane Russell William Pascoe, DMD

Dentist · Hurlburt Field, FL

NPI number 1417453077 Active

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Call (850) 881-1020 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X23525 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDN23525 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1417453077

Shane Russell William Pascoe, DMD's National Provider Identifier is 1417453077, issued on Apr 3, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Hurlburt Field, FL. The record was last updated on Aug 27, 2025.