NPI 1457881922

Immokalee Dental P.A.

Organisation General Practice Dentistry Immokalee, FL

Practice location

Address: 1013 W. Main St. Unit 6a, Immokalee, FL 34142
Phone: (239) 657-7007

Authorised official

Name: Michael D. Kane
Title: Dir.
Phone: (239) 657-7007

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN17673 (FL)

Other Dentist providers in Florida →

Registry record

NPI: 1457881922
Entity type: Organization
NPI issued: 15 Jun 2017
Record last updated: 15 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.