Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluewater Bay Dental, PA

Organization General Practice Dentistry · NPI 1104294669

Bluewater Bay Dental, PA provides General Practice Dentistry in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 E Highway 20 Ste 101
Niceville, FL 32578-9735
Phone: (850) 897-4488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN15111 (FL)

Record details

NPI number1104294669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olivier Broutin — Director · (850) 897-4488
Other names Smileology
NPI enumeratedSeptember 14, 2015
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address4400 E Highway 20 Ste 101, Niceville, FL 32578-9735

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