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331 Cape Coral Pkwy W Suite A Cape Coral FL 33914-5977 | |
| (239) 540-2020 | |
| (239) 540-8293 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 331 Cape Coral Pkwy W, Cape Coral, Florida |
| Authorized Official Name and Position | Brett A Vartdal (PRESIDENT) |
| Authorized Official Contact | 2395402020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
331 Cape Coral Pkwy W Suite A Cape Coral FL 33914-5977 Ph: (239) 540-2020 | 331 Cape Coral Pkwy W Suite A Cape Coral FL 33914-5977 Ph: (239) 540-2020 |
| NPI Number | 1144629031 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144629031 | NPI | - | NPPES |
| 1366686677 | Other | FL | NPI |
| 1912089657 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13901 (Florida) | Primary |
Sage Dental Of Cape Coral North, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Ne Pine Island Road, Suite 140, Cape Coral, FL 33909 Phone: 561-999-9650 | |
Tdc Cape Coral, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2060 Ne Island Rd Ste. 300, Cape Coral, FL 33909 Phone: 561-801-4233 | |
Edgewater Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3512 Del Prado Blvd S Ste 102, Cape Coral, FL 33904 Phone: 239-540-1033 |