| Fort Myers Modern Dentistry, Pa | |
|
3330 Forum Blvd Fort Myers FL 33905-5578 | |
| (239) 241-9128 | |
| Not Available |
| Full Name | Fort Myers Modern Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3330 Forum Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Kelsey Archer (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Myers Modern Dentistry, Pa Po Box 920050 Dallas TX 75392-0050 Ph: () - | Fort Myers Modern Dentistry, Pa 3330 Forum Blvd Fort Myers FL 33905-5578 Ph: (239) 241-9128 |
| NPI Number | 1245088319 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245088319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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