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TOWNCARE DENTAL OF BONITA SPRINGS PA NPI 1477864528


NPI Information

NPI: 1477864528
Provider Name: TOWNCARE DENTAL OF BONITA SPRINGS, PA

Doing Business As: MAIN STREET CHILDREN'S DENTISTRY OF BONITA SPRINGS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
16565 VANDERBILT DR
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 322-1262
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TOWNCARE DENTAL OF BONITA SPRINGS, PA is a pediatric dentistry dentist in Bonita Springs, 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. TOWNCARE DENTAL OF BONITA SPRINGS, PA NPI is 1477864528. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Main Street Children's Dentistry Of Bonita Springs.

The provider's business location address is:

16565 VANDERBILT DR
BONITA SPRINGS, FL
ZIP 34134-552
Phone: (239) 322-1262

The provider's authorized official is Melvyn Gober .
The authorized official title is Ceo and has the following contact phone number (305) 274-2499.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 7/10/2012.


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
11223P0221XDentistPediatric DentistryYes

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

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.