| Immokalee Dental P.a. | |
|
1013 W. Main St. Unit 6a Immokalee FL 34142 | |
| (239) 657-7007 | |
| Not Available |
| Full Name | Immokalee Dental P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1013 W. Main St., Immokalee, Florida |
| Authorized Official Name and Position | Michael D. Kane (DIR.) |
| Authorized Official Contact | 2396577007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immokalee Dental P.a. 1013 W. Main St. Unit 6a Immokalee FL 34142 Ph: (239) 657-7007 | Immokalee Dental P.a. 1013 W. Main St. Unit 6a Immokalee FL 34142 Ph: (239) 657-7007 |
| NPI Number | 1457881922 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457881922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17673 (Florida) | Primary |
Chs-uf Pediatric Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 Fax: 239-658-3175 |