| Jennifer L. Cavanaugh, Dmd Llc | |
|
11924 Fairway Lakes Dr Fort Myers FL 33913-8337 | |
| (412) 370-3634 | |
| Not Available |
| Full Name | Jennifer L. Cavanaugh, Dmd Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11924 Fairway Lakes Dr, Fort Myers, Florida |
| Authorized Official Name and Position | Jennifer L Cavanaugh (OWNER) |
| Authorized Official Contact | 4123703634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L. Cavanaugh, Dmd Llc 11924 Fairway Lakes Dr Fort Myers FL 33913-8337 Ph: (412) 370-3634 | Jennifer L. Cavanaugh, Dmd Llc 11924 Fairway Lakes Dr Fort Myers FL 33913-8337 Ph: (412) 370-3634 |
| NPI Number | 1982296240 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982296240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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