Unknown Individual – Periodontics, NPI 1538215876
Periodontics
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3100 W 30TH CT
PANAMA CITY, FL 324051606
Phone: (850) 769-0457
Fax: (850) 769-9100
Type: Mailing
515, Airport Road, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324054028
Phone: (850) 763-8401
Fax: (850) 763-8488
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32405)
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