Individual
DR. MARTIN MCCLAIN WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
719 BAYSHORE DR, EMERALD COAST PERIODONTICS, NICEVILLE, FL 32578-2527
(850) 678-6485
(850) 678-5245
Mailing address
719 BAYSHORE DR, EMERALD COAST PERIODONTICS, NICEVILLE, FL 32578-2527
(850) 678-6485
(850) 678-5245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2012018306
MO
1223P0300X
Periodontics
Primary
DN21004
FL
Other
Enumeration date
09/17/2012
Last updated
02/13/2022
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