Shane Pascoe, DMD

NPI 1417453077 · on the registry since 2018

Practice

Address: 113 Lielmanis Ave
Hurlburt Field, FL 32544
Phone: (850) 881-1020
Organisation at this address: Hurlburt Main Phcy
1st Spcl Ops Medgrp-Hurlburt
1st Spcl Ops Medgrp-Hurlburt
Hurlburt Call-In Refills Phcy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 192

Registry record

Primary taxonomy: 122300000X
122300000X
Also registered as: 122300000X
390200000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida