| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710314489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |