Organization
GREAT FLORIDA SMILES & ORTHODONTICS PCB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'DONNELL DMD (OWNER)
(850) 622-5888
Entity
Organization
Contact information
Practice address
900 THOMAS DR, PANAMA CITY BEACH, FL 32408-7442
(850) 249-9311
Mailing address
755 GRAND BLVD STE 105B285, MIRAMAR BEACH, FL 32550-1838
(850) 622-5888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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