Healthcare Provider Details

I. General information

NPI: 1356754402
Provider Name (Legal Business Name): LAURA PAIGE GART D.M.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2014
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 GOODLETTE-FRANK RD N
NAPLES FL
34102-5451
US

IV. Provider business mailing address

1140 GOODLETTE-FRANK RD N
NAPLES FL
34102-5451
US

V. Phone/Fax

Practice location:
  • Phone: 239-434-6900
  • Fax: 239-434-6566
Mailing address:
  • Phone: 239-434-6900
  • Fax: 239-434-6566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN23987
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: