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Dr. Matthew Bruce Fournier, DMD
Student in an Organized Health Care Education/Training Program in Miramar Beach, Florida
NPI 1588005490

Matthew Bruce Fournier is a Student in an Organized Health Care Education/Training Program based in Miramar Beach, FL. Matthew Bruce Fournier practices in Miramar Beach, FL and has the professional credentials of DMD. The NPI Number for Matthew Bruce Fournier is 1588005490 and holds a License No. DN20495 (Florida).

The current practice location address for Matthew Bruce Fournier is 77 South Shore Drive, Miramar Beach, FL and can be reached out via phone at 850-262-9488.

Location: 77 South Shore Drive, Miramar Beach, FL, 32550-5822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588005490
Provider Name
Matthew Bruce Fournier
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
77 South Shore Drive, Miramar Beach, FL, 32550-5822
Phone Number
850-262-9488
Fax Number
Provider Enumeration Date
07/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
77 South Shore Drive
City
Miramar Beach
State
Florida
Zip
32550-5822
Phone Number
850-262-9488
Fax Number
person
Provider Business Mailing Address Details
Address
77 South Shore Drive
City
Miramar Beach
State
Florida
Zip
32550-5822
Phone Number
850-262-9488
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN20495 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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