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DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA PA NPI 1265600191


NPI Information

NPI: 1265600191
Provider Name: DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA

Doing Business As: THE SMILE STUDIO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5180 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905
Phone: (239) 694-6161
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DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA 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. DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA NPI is 1265600191. The provider is registered as an organization entity type.
The provider Is Doing Business As The Smile Studio.

The provider's business location address is:

5180 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905-270
Phone: (239) 694-6161
Fax: (239) 694-0413

The provider's authorized official is Rosa Lesso .
The authorized official title is Chief Financial Officer and has the following contact phone number (714) 571-3471.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/2/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental9392FLORIDANo
21223G0001XDentistGeneral Practice9392FLORIDAYes

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

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