SEACREST DENTAL SERVICES LLC NPI 1639543895

NPI Information

NPI: 1639543895
Provider Name: SEACREST DENTAL SERVICES LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
66 N HOLIDAY RD
MIRAMAR BEACH, FL
ZIP 32550
Phone: (850) 213-2626
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SEACREST DENTAL SERVICES 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 SERVICES LLC NPI is 1639543895. 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) 213-2626

The provider's authorized official is Reese Ruder .
The authorized official title is Co-owner and has the following contact phone number (850) 624-9717.

The enumeration date for this NPI number is 11/25/2015 and was last updated on 11/25/2015.

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
1	1223G0001X	Dentist	General Practice	DN20813	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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