FANTASEA PEDIATRIC DENTISTRY NPI 1457874588

NPI Information

NPI: 1457874588
Provider Name: FANTASEA PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1890 SW HEALTH PKWY STE 104
NAPLES, FL
ZIP 34109
Phone: (239) 594-1171
Get Directions

FANTASEA PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Naples, 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. FANTASEA PEDIATRIC DENTISTRY NPI is 1457874588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1890 SW HEALTH PKWY STE 104
NAPLES, FL
ZIP 34109-473
Phone: (239) 594-1171

The provider's authorized official is Joana Lastres .
The authorized official title is Owner and has the following contact phone number (239) 594-1171.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 7/21/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN21762	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »