| Edgewater Family Dentistry Pllc | |
|
3512 Del Prado Blvd S Ste 102 Cape Coral FL 33904-7261 | |
| (239) 540-1033 | |
| Not Available |
| Full Name | Edgewater Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3512 Del Prado Blvd S Ste 102, Cape Coral, Florida |
| Authorized Official Name and Position | Jordan Tomalty (OWNER) |
| Authorized Official Contact | 5616339676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Family Dentistry Pllc 3512 Del Prado Blvd S Ste 102 Cape Coral FL 33904-7261 Ph: (239) 540-1033 | Edgewater Family Dentistry Pllc 3512 Del Prado Blvd S Ste 102 Cape Coral FL 33904-7261 Ph: (239) 540-1033 |
| NPI Number | 1093539330 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093539330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |