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DR. SHANE RUSSELL WILLIAM PASCOE DMD
NPI 1417453077
Dentist in Hurlburt Field, FL

Active since April 03, 2018
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 881-1020 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shane Russell William Pascoe Dmd NPPES

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

DR. SHANE RUSSELL WILLIAM PASCOE DMD (NPI 1417453077) is an individual dentist in Hurlburt Field, Florida, licensed in Florida (DN23525) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1417453077
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHANE RUSSELL WILLIAM PASCOECredential: DMD
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing Address113 Lielmanis AveHurlburt Field, FL 32544-5613
Phone(850) 881-1020
Sole ProprietorNo
Enumeration DateApril 3, 2018
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1417453077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · DN23525✔ Licensed in FL · 23525
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
113 LIELMANIS AVE, Hurlburt Field, FL 32544
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE ENCARNACION LUCIO
Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5855
DR. DON VONGVIPHUT DO
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1020
DERICK MAYBERRY DDS
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-2000
DR. ROBERT KESEAD JR. O.D.
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 883-3187
MS. DEBORAH K LANIUS MSN FNP
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5221
WENDY S BORN CNP
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1257
BRITTON ADAMS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 884-1206
MRS. LISA MCFARLAND IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 621-2865

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 Shane Pascoe's NPI number?

The NPI number for Shane Pascoe is 1417453077. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Shane Pascoe located?

Shane Pascoe practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 881-1020.

What is Shane Pascoe's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shane Pascoe was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.