PREMIER DENTAL & IMPLANT STUDIO NPI 1134539935

NPI Information

NPI: 1134539935
Provider Name: PREMIER DENTAL & IMPLANT STUDIO
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
20321 GRANDE OAK SHOPPES BLVD STE 316
ESTERO, FL
ZIP 33928
Phone: (239) 992-0325
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PREMIER DENTAL & IMPLANT STUDIO is a general practice dentist in Estero, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PREMIER DENTAL & IMPLANT STUDIO NPI is 1134539935. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20321 GRANDE OAK SHOPPES BLVD STE 316
ESTERO, FL
ZIP 33928-697
Phone: (239) 992-0325
Fax: (239) 992-0329

The provider's authorized official is Diana Colmenares .
The authorized official title is Practice Manager and has the following contact phone number (239) 254-9933.

The enumeration date for this NPI number is 5/1/2014 and was last updated on 5/1/2014.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN15449	FLORIDA	No
2	1223G0001X	Dentist	General Practice	DN15549	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: 4/28/2024

NPI Synchronization or Removal

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