| Edgewater Family Dentistry | |
|
6120 Winkler Rd Ste I Fort Myers FL 33919-8192 | |
| (239) 481-6433 | |
| (239) 481-6455 |
| Full Name | Edgewater Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6120 Winkler Rd Ste I, Fort Myers, Florida |
| Authorized Official Name and Position | Bradley Woodham (PRESIDENT) |
| Authorized Official Contact | 2394816433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Family Dentistry 6120 Winkler Rd Ste I Fort Myers FL 33919-8192 Ph: (239) 481-6433 | Edgewater Family Dentistry 6120 Winkler Rd Ste I Fort Myers FL 33919-8192 Ph: (239) 481-6433 |
| NPI Number | 1700308863 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700308863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17101 (Florida) | Primary |
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