Grace, Roger Alan
Grace, Roger Alan is an individual health care provider with primary practice located at 28 Racetrack Rd Nw , Fort Walton Beach FL 32547-1602. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Grace, Roger Alan can be contacted via phone (850) 863-2111.Contact Information
Primary practice address
28 Racetrack Rd Nw
Fort Walton Beach FL 32547-1602
Phone: (850) 863-2111
Fax: (850) 863-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5724 | Florida |
Profile Details
| NPI number | 1780648683 |
|---|---|
| LBN Legal business name | Grace, Roger Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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