Organization · Type 2 NPI

Emerald Coast Periodontics, P.a.

Periodontics · Niceville, FL

NPI number 1437201712 Active

Practice location

719 Bayshore Dr
Niceville, FL 32578-2546

Fax (850) 678-5245

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN0008574 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1437201712

Emerald Coast Periodontics, P.a.'s National Provider Identifier is 1437201712, issued on Jan 17, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Niceville, FL. The record was last updated on Aug 22, 2020.