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

Emerald Coast Periodontics

Organization Periodontics · NPI 1306223888

Emerald Coast Periodontics is a Periodontics in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

719 Bayshore Dr
Niceville, FL 32578
Phone: (850) 678-6485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN21004 (FL)

Record details

NPI number1306223888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Woolsey — Periodontist · (850) 678-6485
NPI enumeratedMay 4, 2015
Last updated in NPPESMay 4, 2015
Mailing address719 Bayshore Drive, Niceville, FL 32578

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