Edgewater Family Dentistry | |
6120 Winkler Rd Ste I Fort Myers FL 33919-8192 | |
(239) 481-6433 | |
(239) 481-6455 |
Full Name | Edgewater Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 6120 Winkler Rd Ste I, Fort Myers, Florida |
Authorized Official Name and Position | Bradley Woodham (PRESIDENT) |
Authorized Official Contact | 2394816433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edgewater Family Dentistry 6120 Winkler Rd Ste I Fort Myers FL 33919-8192 Ph: (239) 481-6433 | Edgewater Family Dentistry 6120 Winkler Rd Ste I Fort Myers FL 33919-8192 Ph: (239) 481-6433 |
NPI Number | 1700308863 |
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Provider Enumeration Date | 07/11/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1700308863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN17101 (Florida) | Primary |
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