Gulf Breeze Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GULF BREEZE FAMILY DENTISTRY

Practice address

1371 Country Club Rd
Gulf Breeze, FL 32563-3451

Phone

(850) 375-8098

NPI assigned

Apr 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa Obrochta, DMD

Title

Owner

Phone

(850) 375-8098

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554595200000",
    "number": "1528521671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 E CAMBRIDGE WAY",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325717375",
            "telephone_number": "850-375-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 COUNTRY CLUB RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633451",
            "telephone_number": "850-375-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BREEZE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A",
        "authorized_official_last_name": "OBROCHTA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-375-8098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gulf Breeze Treatment Center (Gulf Breeze Recovery)
• Gulf Coast Family Medicine PLLC
• Gulf Coast Health System Imaging, LLC (Optimal Imaging Sacred Heart Health System)

• Dental Clinic/Center in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.