Dr Jonathan Van Dyke, DMD | |
606 Bald Eagle Dr Ste 200, Marco Island, FL 34145-2731 | |
(239) 394-1004 | |
Not Available |
Full Name | Dr Jonathan Van Dyke |
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Gender | Male |
Speciality | Dentist |
Location | 606 Bald Eagle Dr Ste 200, Marco Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063864270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN22095 (Florida) | Primary |
Entity Name | Island Tower Dentistry Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154016178 PECOS PAC ID: 8527428333 Enrollment ID: O20230712000892 |
Mailing Address | Practice Location Address |
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Dr Jonathan Van Dyke, DMD 606 Bald Eagle Dr Ste 200, Marco Island, FL 34145-2731 Ph: (239) 394-1004 | Dr Jonathan Van Dyke, DMD 606 Bald Eagle Dr Ste 200, Marco Island, FL 34145-2731 Ph: (239) 394-1004 |
Tyler Frey, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1770 San Marco Rd Ste 202, Marco Island, FL 34145 Phone: 239-394-3200 | |
Dr. William Winslow Hutchinson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 848 Collier Ct, 402, Marco Island, FL 34145 Phone: 239-394-1155 Fax: 239-394-1155 | |
Gordon Paul Pocialik, D.M.D, M.S. Dentist Medicare: Medicare Enrolled Practice Location: 950 N Collier Blvd, Ste #305, Marco Island, FL 34145 Phone: 239-389-9400 | |
Dr. Andrew Peter Derwin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 291 S Collier Blvd, Marco Island, FL 34145 Phone: 239-394-0444 Fax: 239-394-9417 | |
Dr. Geoffrey Donald Bentley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 S. Collier Blvd., #803, Marco Island, FL 34145 Phone: 239-877-1436 | |
Dr. Robert Joseph Abbiati, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1120 N Collier Blvd, Suite 208, Marco Island, FL 34145 Phone: 239-642-3233 |