Provider Demographics
NPI:1356365035
Name:BRESLER, DORON (DDS)
Entity type:Individual
Prefix:DR
First Name:DORON
Middle Name:
Last Name:BRESLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2226
Mailing Address - Country:US
Mailing Address - Phone:850-739-1917
Mailing Address - Fax:
Practice Address - Street 1:2240 W 24TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2226
Practice Address - Country:US
Practice Address - Phone:850-739-1917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA456511223P0300X
FLDN181301223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics