Shane Russell William Pascoe, DMD
Dentist · Hurlburt Field, FL
Practice location
113 Lielmanis AveHurlburt Field, FL 32544-5613
- Phone
- (850) 881-1020
NPI record
- NPI
- 1417453077
- Entity type
- Individual (Type 1)
- Enumeration date
- April 3, 2018
- Last updated
- August 27, 2025
- Certified
- August 27, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DN23525 | FL |
| Dentist | 122300000X |
23525 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Dr. Pascoe
Shane Russell William Pascoe, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613. The NPI number 1417453077 was assigned on April 3, 2018 and the record was last updated on August 27, 2025.
Dr. Pascoe lists 2 licenses in the registry: #DN23525 (FL) for Dentist; #23525 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shane Russell William Pascoe, DMD?
The NPI number is 1417453077.
What is the phone number of Dr. Pascoe?
The phone number listed for the practice location is (850) 881-1020.
Where is Dr. Pascoe located?
113 Lielmanis Ave, Hurlburt Field, FL 32544-5613.
What is the taxonomy code for Dr. Pascoe?
The primary taxonomy code is 122300000X – Dentist; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Hurlburt Field
- Christianna L. Moore, D.D.S.113 Lielmanis Ave Bldg 91020
- Justin Palmer, D.M.D.113 Lielmanis Ave
- Govinda Allin, DMD113 Lielmanis Ave
- Brian Michael Clement, DDS113 Lielmanis Ave
- Donald Harold Chattin, DDS113 Lielmanis Ave
- Dixie Mobley113 Lielmanis Ave