Organization
FREEPORT FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J SHIRLEY D.M.D. (DENTIST)
(850) 865-6703
Entity
Organization
Contact information
Practice address
30 BLUEBERRY RD, FREEPORT, FL 32439-3016
(850) 835-4127
Mailing address
30 BLUEBERRY RD, FREEPORT, FL 32439-3016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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