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EMERALD COAST PERIODONTICS
NPI 1306223888
Dentist - Periodontics in Niceville, FL

Active since May 04, 2015
719 BAYSHORE DRIVE, NICEVILLE, FL 32578(850) 678-6485 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Periodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD COAST PERIODONTICS (NPI 1306223888) is a healthcare organization registered as a periodontics in Niceville, Florida and active in the NPI registry since May 2015. The organization lists Martin M Woolsey, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1306223888
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEMERALD COAST PERIODONTICS
Location Address719 BAYSHORE DRIVENiceville, FL 32578
Mailing Address719 Bayshore DriveNiceville, FL 32578
Phone(850) 678-6485
Organization SubpartNo
Authorized OfficialMartin M WoolseyPeriodontist · (850) 678-6485
Enumeration DateMay 4, 2015
✔ NPI 1306223888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN21004
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
719 BAYSHORE DRIVE, Niceville, FL 32578
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Coast Periodontics's NPI number?

The NPI number for Emerald Coast Periodontics is 1306223888. It was assigned to this organization in the NPPES registry on May 4, 2015.

Where is Emerald Coast Periodontics located?

Emerald Coast Periodontics is located at 719 Bayshore Drive, Niceville, FL 32578. The listed phone number is (850) 678-6485.

What is Emerald Coast Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Periodontics was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.