CORAL DENTAL AND DENTURE PA NPI 1366796450

NPI Information

NPI: 1366796450
Provider Name: CORAL DENTAL AND DENTURE PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12711 MCGREGOR BLVD
FORT MYERS, FL
ZIP 33919
Phone: (239) 542-3925
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CORAL DENTAL AND DENTURE PA is a dental clinic center in Fort Myers, FL. CORAL DENTAL AND DENTURE PA NPI is 1366796450. The provider is registered as an organization entity type.

The provider's business location address is:

12711 MCGREGOR BLVD
FORT MYERS, FL
ZIP 33919-412
Phone: (239) 542-3925
Fax: (239) 210-5903

The provider's authorized official is Juan Carlos Castellanos .
The authorized official title is President and has the following contact phone number (239) 603-5210.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 4/28/2016.

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	261QD0000X	Clinic/Center	Dental	DN 19837	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: 11/14/2023

NPI Synchronization or Removal

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