Sanibel Island Dental Llc | |
1648 Periwinkle Way Ste C1 Sanibel FL 33957-4406 | |
(239) 395-1211 | |
(239) 395-2303 |
Full Name | Sanibel Island Dental Llc |
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Speciality | Dentist - General Practice |
Location | 1648 Periwinkle Way Ste C1, Sanibel, Florida |
Authorized Official Name and Position | Matthew L Davis (OWNER) |
Authorized Official Contact | 2399392272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sanibel Island Dental Llc 40 Barkley Cir Ste 2 Fort Myers FL 33907-4518 Ph: (239) 939-2272 | Sanibel Island Dental Llc 1648 Periwinkle Way Ste C1 Sanibel FL 33957-4406 Ph: (239) 395-1211 |
NPI Number | 1710314489 |
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Provider Enumeration Date | 09/26/2013 |
Last Update Date | 09/26/2013 |
Identifier | Type | State | Issuer |
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1710314489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |