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NPI Code Detail

MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PC

MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PC
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
1122300000XDentistDN20204FL

General Provider Information

NPI Number : 1437586393
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PC
Provider Business Mailing Address
First Line : 9011 DANIELS PKWY
Second Line : SUITE 105
City : FORT MYERS
State : FL
Zip : 33912-1814
Country : US
Telephone Number : 239-217-7487
Fax Number :
Provider Business Practice Location Address
First Line : 9011 DANIELS PKWY
Second Line : SUITE 105
City : FORT MYERS
State : FL
Zip : 33912-1814
Country : US
Telephone Number : 239-217-7487
Fax Number :
Authorized Official
Title or Position : INSURANCE/CREDENTIALING
Name : ALLISON VARNER
Credential :
Telephone Number : 217-540-6077
Provider Enumeration Date : 10/08/2013
Last Update Date : 10/08/2013

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Directions to “COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PC ” Practice Location

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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.