Ft.myers Dental Services, P.a.

NPI #1528171071 in Ft Myers, Florida

Provider Information

NPI Number: 1528171071
Entity Type: Organization
Organization Name: Ft.myers Dental Services, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 17, 2006
Last Updated: Aug 21, 2014

Practice Location

Address: 6150 DIAMOND CENTER CT
Address 2: BLDG 300, SUITE 2
City: Ft Myers
State: Florida
ZIP Code: 33912
Phone: (239) 433-4746

Authorized Official

Name: STEPHANIE GOMEZ
Title: PROVIDER RELATIONS
Phone: (305) 274-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - General Practice — General Practice	1223G0001X	Primary

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