Seabreeze Endodontics Pensacola PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SEABREEZE ENDODONTICS PENSACOLA PA

Practice address

9013 University Pkwy Ste H
Pensacola, FL 32514-9421

Phone

(850) 285-0935

Fax

(888) 788-5217

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shane Robert Hanson, DMDNPI 1710907787

Title

President

Phone

(850) 398-7849

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane R Hanson, DMD

  • Endodontics
  • Panama City, FL
  • NPI 1710907787
  NPD Authorized official

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1992357289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY STE H",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149421",
            "telephone_number": "850-285-0935",
            "fax_number": "888-788-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY STE H",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149421",
            "telephone_number": "850-285-0935",
            "fax_number": "888-788-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1371 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633451",
            "country_code": "US",
            "telephone_number": "850-231-6952",
            "fax_number": "888-788-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEABREEZE ENDODONTICS PENSACOLA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-398-7849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Scott
• Tiffany Lynn Scott
• Jennifer Ann Sculley, R.PH.
• SD Orthodontics, PA
• Seabarn Inc
• Savannah Elizabeth Seager, LCSW
• Bridgette Marie Seales, PA-C
• Octavia Seals, LCSW
• Meghan Dawn Sealy, ITDS
• Sean Oleary

• Endodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.