MEDICARE: ACCESS ENDODONTICS, PA

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
1	1223E0200X	Endodontics	DN17436	FL

General Provider Information

NPI Number	:	1336374677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS ENDODONTICS, PA

Provider Business Mailing Address
First Line	:	6323 CORPORATE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6323 CORPORATE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3518
Country	:	US
Telephone Number	:	239-482-5311
Fax Number	:	239-482-8531

Authorized Official
Title or Position	:	ENDODONTIST
Name	:	DR. RICHARD MICHAUD
Credential	:	DMD
Telephone Number	:	239-482-5311

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	05/15/2009

Similar Medicare Providers

1497922777 — DR. RICHARD MICHAUD DMD
Practice Location Address:

6323 CORPORATE CT
FORT MYERS, FL
33919-3518

Practice Phone: 239-482-5311
Practice Fax:

1588918767 — STEVEN M FREY D.D.S.
Practice Location Address:

6323 CORPORATE CT STE A
FORT MYERS, FL
33919-3518

Practice Phone: 239-482-5311
Practice Fax: 239-482-8531

1023486313 — ACCESS ENDODONTICS PA
Practice Location Address:

6323 CORPORATE CT , SUITE A
FORT MYERS, FL
33919-3518

Practice Phone: 239-482-5311
Practice Fax:

1003769951 — STEVEN M FREY DDS PA
Practice Location Address:

6323 CORPORATE CT STE A
FORT MYERS, FL
33919-3518

Practice Phone: 239-482-5311
Practice Fax: 239-482-8531

1386927713 — DR. LAURA COPELLMAN STREYFFELER PH.D.
Practice Location Address:

2204 BREVARD AVE
FORT MYERS, FL
33901-3518

Practice Phone: 239-822-1699
Practice Fax:

1912280991 — MS. PAMELA WILLIAMS PETERS M.A., L.M.H.C.
Practice Location Address:

2204 BREVARD AVE
FORT MYERS, FL
33901-3518

Practice Phone: 239-574-4387
Practice Fax:

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