Michael O'Donnell, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 16800 Issued in FL

Practice address

6757 US Highway 98 W Ste 301
Santa Rosa Beach, FL 32459-4780

Phone

(850) 622-5888

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Florida Smiles & Orthodontics PBC, PLLC

  • General Practice Dentistry
  • Panama City Beach, FL
  • NPI 1750068482
  NPD Authorized official
• Imaging Institute LLC

  • Diagnostic Radiology Physician
  • Santa Rosa Beach, FL
  • NPI 1740781137
  NPD (past) Authorized official
• TMJ & Sleep Center LLC

  • Dental Clinic/Center
  • Santa Rosa Beach, FL
  • NPI 1942764287
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1750478046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 GRAND BLVD # 285B105",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501838",
            "telephone_number": "850-622-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 US HIGHWAY 98 W STE 301",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594780",
            "telephone_number": "850-622-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Navy Blvd",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324087442",
            "country_code": "US",
            "telephone_number": "850-608-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6757 US Highway 98 W Ste 302",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324594780",
            "country_code": "US",
            "telephone_number": "850-608-1580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Navy Blvd",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324087442",
            "country_code": "US",
            "telephone_number": "850-249-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 16800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nicholas Nolte, M.D.
• North Florida Surgeons, PA (NFS Northwest Florida Spine, LLC)
• Northwest Florida Home Care, Inc. (Synergy Home Care of NW FL, In)
• Livingston Nuamah, DPM
• Lan O'Donnell, O.D., M.S.
• Lisa E O'Neill, APRN
• Grant Forsyth Oberle, BHS
• Optikk 30a, PA
• Tanya Orr, DDS
• Orthopedic & Sports Physical Therapy Center LLC

• Dentist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.