OLIVER PETER FAVALLI NPI 1598874752

NPI Information

NPI: 1598874752
Provider Name: OLIVER PETER FAVALLI
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
5150 MASON CORBIN CT
SUITE #2
FORT MYERS, FL
ZIP 33907
Phone: (239) 418-1444
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Oliver Peter Favalli is a pediatric dentistry dentist in Fort Myers, 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. Oliver Peter Favalli NPI is 1598874752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5150 MASON CORBIN CT
SUITE #2
FORT MYERS, FL
ZIP 33907
Phone: (239) 418-1444

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/25/2016.

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	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	13738	FLORIDA	No
2	1223P0221X	Dentist	Pediatric Dentistry	13738	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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