Dr. Shane Russell William Pascoe, DMD
Dr. Shane Russell William Pascoe is a Dentist provider (Dentist) practicing in Hurlburt Field, FL, registered in the NPPES registry with NPI 1417453077 since 2018. The credential DMD stands for Doctor of Medicine in Dentistry.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417453077 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Shane Russell William Pascoe |
| Credential | DMD |
| Sex | Male |
| Practice address | 113 LIELMANIS AVE, Hurlburt Field, FL, 32544 |
| Phone | 8508811020 |
| Enumeration date | 2018-04-03 |
| Last updated in NPPES | 2025-08-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | 23525 | FL |
| 390200000X | Student in an Organized Health Care Education/Training Program | Secondary | — | — |
| 122300000X | Dentist | Primary | DN23525 | FL |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Shane Pascoe, DMD NPI: 1417453077 Taxonomy: 122300000X (Dentist) Address: 113 LIELMANIS AVE, Hurlburt Field, FL, 32544
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124020524 | Sheridan Martin | Individual | Optometrist | Hurlburt Field, FL |
| 1467444349 | Matthew Hanson | Individual | Aerospace Medicine Physician | Hurlburt Field, FL |
| 1619966082 | Brian Clement | Individual | Dentist | Hurlburt Field, FL |
| 1083691604 | Troy Todd | Individual | Psychologist | Hurlburt Field, FL |
| 1013996644 | Deborah Lanius | Individual | Family Nurse Practitioner | Hurlburt Field, FL |
| 1568442630 | 1st Spcl Ops Medgrp-Hurlburt | Organization | Military/U.S. Coast Guard Outpatient Clinic/Center | Hurlburt Field, FL |
| 1114907185 | Chad Willis | Individual | Optometrist | Hurlburt Field, FL |
| 1295709608 | Joseph Villacis | Individual | Psychiatry Physician | Hurlburt Field, FL |
Verify this record
Cross-check NPI 1417453077 against the authoritative CMS record: view Dr. Shane Russell William Pascoe on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-27.