Island Tower Dentistry PA
NPI #1154016178 in Marco Island, Florida
Provider Information
- NPI Number
- 1154016178
- Entity Type
- Organization
- Organization Name
- Island Tower Dentistry PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 606 BALD EAGLE DR STE 200
- City
- Marco Island
- State
- Florida
- ZIP Code
- 34145-2731
- Phone
- (239) 394-1004
Authorized Official
- Name
- DR. JONATHAN VAN DYKE, DMD, MA
- Title
- DENTIST
- Phone
- (239) 394-1004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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