FT. MYERS DENTAL SERVICES PA NPI 1437479169

NPI Information

FT. MYERS DENTAL SERVICES, PA is a pediatric dentistry dentist in Fort Myers, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. FT. MYERS DENTAL SERVICES, PA NPI is 1437479169. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Main Street Children's Dentistry Of Ft. Myers.

The provider's business location address is:

6150 DIAMOND CENTRE CT
BLDG 300, SUITE 2
FORT MYERS, FL
ZIP 33912-365
Phone: (239) 768-2485

The provider's authorized official is Melvyn Gober .
The authorized official title is Ceo and has the following contact phone number (305) 274-2499.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 7/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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