PALM BEACH BLVD DENTAL NPI 1245654565

NPI Information

PALM BEACH BLVD DENTAL is a general practice dentist in Fort Myers, 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. PALM BEACH BLVD DENTAL NPI is 1245654565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4901 PALM BEACH BLVD UNIT 110
FORT MYERS, FL
ZIP 33905-244
Phone: (941) 957-3703

The provider's authorized official is Andrew J Martineau .
The authorized official title is Dentist/owner and has the following contact phone number (941) 957-3703.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/6/2014.

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:

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