| Dynamic Dental Health Associates Of Florida, Pa | |
|
5180 Palm Beach Blvd Fort Myers FL 33905-3270 | |
| (239) 694-6161 | |
| (239) 694-0413 |
| Full Name | Dynamic Dental Health Associates Of Florida, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5180 Palm Beach Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Rosa Lesso (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7145713471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dental Health Associates Of Florida, Pa 136 4th St N Ste 201 St Petersburg FL 33701-3889 Ph: (727) 800-8026 | Dynamic Dental Health Associates Of Florida, Pa 5180 Palm Beach Blvd Fort Myers FL 33905-3270 Ph: (239) 694-6161 |
| NPI Number | 1265600191 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265600191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9392 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | 9392 (Florida) | Primary |
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