Main Street Children'S Dentistry And Orthodontics Of Ft. Myers, P.A.
LBN: Main Street Children'S Dentistry And Orthodontics Of Ft. Myers, P.A.
Main Street Children'S Dentistry And Orthodontics Of Ft. Myers, P.A. is an health care organization with primary practice located at 13195 Metro Pkwy , Fort Myers FL 33966-4810. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Main Street Children'S Dentistry And Orthodontics Of Ft. Myers, P.A. can be contacted via phone (239) 768-2485, or through Gomez, Stephanie via phone (305) 274-2499.
Contact Information
Primary practice address
13195 Metro Pkwy
Fort Myers FL 33966-4810
Phone: (239) 768-2485
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | ||
Dental Providers / Pediatric Dentistry | 1223P0221X | ||
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
NPI number | 1962794602 |
---|---|
LBN Legal business name | Main Street Children'S Dentistry And Orthodontics Of Ft. Myers, P.A. |
DBA Doing business as | |
Authorized official | Gomez, Stephanie |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 13th, 2011 |
Last updated | Aug 1st, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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