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

Dr. Shane Russell William Pascoe, DMD

Individual provider Dentist · NPI 1417453077

Dr. Shane Russell William Pascoe, DMD is a Dentist in Hurlburt Field, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone: (850) 881-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN23525 (FL)
Dentist Taxonomy 122300000X · Licence 23525 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417453077
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address113 Lielmanis Ave, Hurlburt Field, FL 32544-5613

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