Southwest Florida Dental Group | |
15650 San Carlos Blvd Fort Myers FL 33908-2569 | |
(239) 489-1118 | |
(239) 489-3627 |
Full Name | Southwest Florida Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 15650 San Carlos Blvd, Fort Myers, Florida |
Authorized Official Name and Position | Eric W Baxmann (OWNER) |
Authorized Official Contact | 2394891118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southwest Florida Dental Group Po Box 08010 Fort Myers FL 33908-0010 Ph: (239) 489-1118 | Southwest Florida Dental Group 15650 San Carlos Blvd Fort Myers FL 33908-2569 Ph: (239) 489-1118 |
NPI Number | 1023144987 |
---|---|
Provider Enumeration Date | 02/26/2007 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023144987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN14825 (Florida) | Primary |
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