What is Shane Pascoe's NPI number?

Shane Pascoe's National Provider Identifier (NPI) is 1417453077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Pascoe's specialty?

Shane Pascoe is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Shane Pascoe located?

Shane Pascoe's practice location on file with NPPES is 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613.

What is Shane Pascoe's phone number?

The practice phone number listed in the NPPES registry for Shane Pascoe is (850) 881-1020.

Is Shane Pascoe's NPI active?

Yes — Shane Pascoe's NPI (1417453077) is active in the NPPES registry as of the last update on 2025-08-27.

IndividualActive

Shane Pascoe, DMD

NPI 1417453077 · Dentist · Hurlburt Field, FL

Shane Pascoe, DMD is a Dentist provider in Hurlburt Field, FL (NPI 1417453077).

Provider details

NPI number: 1417453077
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 23525 (FL)

Specialties & taxonomies

DentistPrimary122300000XLicense DN23525 (FL)
Dental Providers
Dentist122300000XLicense 23525 (FL)
Dental Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

113 Lielmanis Ave

Hurlburt Field, FL 32544-5613

Phone: (850) 881-1020

Approximate (ZIP-level) locationGet directions

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Mailing address