| Southwest Florida Dental Group | |
|
15650 San Carlos Blvd Fort Myers FL 33908-2569 | |
| (239) 489-1118 | |
| (239) 489-3627 |
| Full Name | Southwest Florida Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15650 San Carlos Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Eric W Baxmann (OWNER) |
| Authorized Official Contact | 2394891118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Florida Dental Group Po Box 08010 Fort Myers FL 33908-0010 Ph: (239) 489-1118 | Southwest Florida Dental Group 15650 San Carlos Blvd Fort Myers FL 33908-2569 Ph: (239) 489-1118 |
| NPI Number | 1023144987 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023144987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14825 (Florida) | Primary |
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