Coastal Periodontics Practice
Coastal Periodontics Practice is a Periodontics in Fort Walton Beach, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
82 Beal Pkwy SWFort Walton Beach, FL 32548-5331
Phone: (850) 862-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1205449584 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Faith Gaskins — Director Of Credentialing · (972) 869-3789 |
| Other names | Coastal Periodontics |
| NPI enumerated | August 26, 2020 |
| Last updated in NPPES | August 26, 2020 |
| Certification date | August 26, 2020 |
| Mailing address | 82 Beal Pkwy Sw, Fort Walton Beach, FL 32548-5331 |
Other providers in Fort Walton Beach
-
Dr. J. Brent Bartruff, DMD
930 Mar Walt Dr # B, Fort Walton Beach, FL 32547-6706 · (850) 862-6666
-
Dr. David T Beverly, DMD, MSD
82 Beal Pkwy SW, Fort Walton Beach, FL 32548-5331 · (850) 862-6666