Freeport Family Dentistry, LLC

NPI #1790291425 in Freeport, Florida

Provider Information

NPI Number: 1790291425
Entity Type: Organization
Organization Name: Freeport Family Dentistry, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 18, 2017
Last Updated: Dec 18, 2017

Practice Location

Address: 30 BLUEBERRY RD
City: Freeport
State: Florida
ZIP Code: 32439-3016
Phone: (850) 835-4127

Authorized Official

Name: DR. JAMES J SHIRLEY, D.M.D.
Title: DENTIST
Phone: (850) 865-6703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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