Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluewater Bay Dental, PA

Organization General Practice Dentistry · NPI 1104294669

Bluewater Bay Dental, PA is a General Practice Dentistry in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 E Highway 20 Ste 101
Niceville, FL 32578-9735
Phone: (850) 897-4488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN15111 (FL)

Record details

NPI number1104294669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olivier Broutin — Director · (850) 897-4488
Other names Smileology
NPI enumeratedSeptember 14, 2015
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address4400 E Highway 20 Ste 101, Niceville, FL 32578-9735

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