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

Shoreline Dental Studio PLLC

Organization Dental Clinic/Center · NPI 1750049417

Shoreline Dental Studio PLLC is a Dental Clinic/Center in Fort Walton Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34 Walter Martin Rd NE
Fort Walton Beach, FL 32548-4960
Phone: (760) 528-0275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1750049417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Dubois — Owner/Member · (760) 528-0275
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address4 Okahatchee Cir Se, Fort Walton Beach, FL 32548-5711

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