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NPI Code Detail

MEDICARE: SOUTHWEST FLORIDA DENTAL PARTNERSHIP

MEDICARE: SOUTHWEST FLORIDA DENTAL PARTNERSHIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN14825FL

General Provider Information

NPI Number : 1568793727
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST FLORIDA DENTAL PARTNERSHIP
Provider Business Mailing Address
First Line : 15650 SAN CARLOS BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-2569
Country : US
Telephone Number : 239-489-1118
Fax Number : 239-489-3627
Provider Business Practice Location Address
First Line : 15650 SAN CARLOS BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-2569
Country : US
Telephone Number : 239-489-1118
Fax Number : 239-489-3627
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. ERIC W. BAXMANN
Credential : D.D.S.
Telephone Number : 239-489-1118
Provider Enumeration Date : 01/27/2010
Last Update Date : 01/27/2010

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Directions to “SOUTHWEST FLORIDA DENTAL PARTNERSHIP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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