Individual
DR. EDWARD JOSEPH NIEBERLEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
450 TURNER ST, PENSACOLA, FL 32508-5211
(850) 452-5600
(850) 452-8173
Mailing address
1511 CYPRESS BEND TRL, GULF BREEZE, FL 32563-9586
(850) 377-1603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1988-82
MS
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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