Individual
DR. KYLE J. SCHNACKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3404 SANTA ROSA DR, GULF BREEZE, FL 32563-5665
(850) 934-2720
(850) 934-2717
Mailing address
3404 SANTA ROSA DR, GULF BREEZE, FL 32563-5665
(850) 934-2720
(850) 934-2717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22611
FL
1223G0001X
General Practice Dentistry
DN22611
FL
Other
Enumeration date
05/23/2017
Last updated
01/23/2024
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