Organization
BAY ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JOSEPH HEITZMANN DMD (ORAL SURGEON/OWNER)
(850) 271-8001
Entity
Organization
Contact information
Practice address
725 OHIO AVE, LYNN HAVEN, FL 32444-1757
(850) 271-8001
(850) 277-0390
Mailing address
725 OHIO AVE, LYNN HAVEN, FL 32444-1757
(850) 271-8001
(850) 277-0390
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DN17426
FL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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