Chs-uf Pediatric Dental Center is a dental clinic (Dentist - Pediatric Dentistry) in Immokalee, Florida. The current practice location for Chs-uf Pediatric Dental Center is 1454 Madison Ave W, Immokalee, Florida. For appointments, you can reach them via phone at
(239) 658-3064. The mailing address for Chs-uf Pediatric Dental Center is 7007 Lely Cultural Pkwy, Edison College Building L, Naples, Florida and phone number is (239) 775-3052.
Chs-uf Pediatric Dental Center is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1003065723. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(239) 658-3064.
Dental Care Clinic Profile
| Full Name | Chs-uf Pediatric Dental Center |
|---|
| Speciality | Dentist - Pediatric Dentistry |
|---|
| Location | 1454 Madison Ave W, Immokalee, Florida |
|---|
| Authorized Official Name and Position | Sandra Steele (CHIEF FINANCIAL OFFICER) |
|---|
| Authorized Official Contact | 2396583003 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chs-uf Pediatric Dental Center
7007 Lely Cultural Pkwy
Edison College Building L
Naples
FL 34113-8976
Ph: (239) 775-3052 | Chs-uf Pediatric Dental Center
1454 Madison Ave W
Immokalee
FL 34142-2200
Ph: (239) 658-3064 |
NPI Details:
| NPI Number | 1003065723 |
|---|
| Provider Enumeration Date | 09/18/2008 |
|---|
| Last Update Date | 11/10/2021 |
|---|
Medical Identifiers
Medical identifiers for Chs-uf Pediatric Dental Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003065723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Reviews and Comments