# ERIC R. CLAUSSEN, D.M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790087138
- **Authorized official:** DR. ERIC RICHARD CLAUSSEN D.M.D. (PRESIDENT)
- **Authorized official phone:** (407) 408-4880

## Contact information

- **Practice address:** 2624 JENKS AVE, PANAMA CITY, FL 32405-4311
- **Practice address phone:** (850) 215-0798
- **Mailing address:** 2624 JENKS AVE, PANAMA CITY, FL 32405-4311
- **Mailing address phone:** (850) 215-0798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D17080 | FL | Yes |

## Other

- **Enumeration date:** 11/17/2010
- **Last updated:** 06/29/2012