Healthcare Provider Details

I. General information

NPI: 1891469623
Provider Name (Legal Business Name): EDUARDO F VALDES DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8644 ADDISON PLACE DR
NAPLES FL
34119-7832
US

IV. Provider business mailing address

4724 KENSINGTON CIR
NAPLES FL
34119-9072
US

V. Phone/Fax

Practice location:
  • Phone: 239-206-1470
  • Fax:
Mailing address:
  • Phone: 415-595-0196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN27870
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: