MIDPOINT DENTISTRY NPI 1841625910

NPI Information

  • NPI: 1841625910
  • Provider Name: MIDPOINT DENTISTRY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: LAKES PARK CHILDREN'S DENTISTRY & ORTHODONTICS
  • Address: 7117 CONGDON RD
    SUITE 100
    FORT MYERS, FL
    ZIP 33908
  • Phone: (239) 418-1444

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NPI Details

MIDPOINT DENTISTRY 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. MIDPOINT DENTISTRY NPI is 1841625910. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lakes Park Children's Dentistry & Orthodontics.

The provider's business location address is:

7117 CONGDON RD
SUITE 100
FORT MYERS, FL
ZIP 33908-216
Phone: (239) 418-1444
Fax: (239) 418-1888

The provider's authorized official is Oliver P Favalli .
The authorized official title is Owner/doctor and has the following contact phone number (239) 418-1444.

The enumeration date for this NPI number is 9/9/2013 and was last updated on 9/9/2013.

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
11223P0221XDentistPediatric DentistryDN13738FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1070912300MEDICAIDFLORIDA

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: 11/21/2025

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