SEACREST DENTAL II LLC NPI 1538591706

NPI Information

  • NPI: 1538591706
  • Provider Name: SEACREST DENTAL II LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 66 N HOLIDAY RD
    MIRAMAR BEACH, FL
    ZIP 32550
  • Phone: (850) 231-3736

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NPI Details

SEACREST DENTAL II LLC is a general practice dentist in Miramar Beach, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SEACREST DENTAL II LLC NPI is 1538591706. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

66 N HOLIDAY RD
MIRAMAR BEACH, FL
ZIP 32550-936
Phone: (850) 231-3736
Fax: (888) 654-4326

The provider's authorized official is Fred Edwin Ruder .
The authorized official title is Co-owner and has the following contact phone number (850) 231-3736.

The enumeration date for this NPI number is 7/30/2013 and was last updated on 5/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN10145WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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