DR. SHELLY D KING (NPI# 1013169796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013169796 |
| Entity Type | Individual |
| Full Name | DR. SHELLY D KING |
| Credential | DMD |
| Practice Address |
6900 Daniels Pkwy Ste 30 Fort Myers FL 33912-1587 |
| Practice Telephone | 2393375464 |
| Practice Fax Number | 2395612742 |
| Mailing Telephone | 2393375464 |
| Mailing Fax Number | 2395612742 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15682 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132009 | Shelly Elaine King | Community Health Worker | 8032 Eagle Ridge Dr, West Chester, OH 45069-1973 | 2017-02-08 |
| 1831648484 | Shelly King | Speech-Language Pathologist | 219 Concord Dr, Normal, IL 61761-2754 | 2016-09-23 |
| 1043504137 | Shelly K King | Pharmacist | 233 E High St, Carlisle, PA 17013-2521 | 2011-06-06 |
| 1114232279 | Shelly R King | Physical Therapy Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2010-08-13 |
| 1427044874 | Shelly J King | Nurse Practitioner | 705 Riley Hospital Dr, Suite 4230, Indianapolis, IN 46202-5109 | 2005-09-21 |
| Street Address |
6900 DANIELS PKWY STE 30 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-1587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851543532 | Bryant Ray King | Dentist | 6900 Daniels Pkwy Ste 30, Fort Myers, FL 33912-1587 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505359 | Ariosto Rosado | Dentist | 16960 Alico Mission Way Ste 100, Fort Myers, FL 33908-4844 | 2020-07-09 |
| 1972141430 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 16159 Myriad Ln, Fort Myers, FL 33908-3483 | 2019-12-16 |
| 1407404320 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12021 Palm Beach Blvd, Fort Myers, FL 33905-4807 | 2019-09-04 |
| 1073084307 | Mobile Dental Care of Florida LLC | Dentist | 1431 Poinciana Ave, Fort Myers, FL 33901-5926 | 2018-12-16 |
| 1831660026 | Happy Smiles of Port Saint Lucie | Dentist | 2675 Winkler Ave Ste 450, Fort Myers, FL 33901-9329 | 2018-12-16 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1861908683 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5245 Big Pine Way Ste 103, Fort Myers, FL 33907-5924 | 2017-12-15 |
| 1346754900 | Amelia Mercedes Caceres Tejada | Dentist | 3230 Forum Blvd, Fort Myers, FL 33905-5580 | 2017-11-18 |
| 1407372824 | Erik Matthew Skates | Dentist | 10551 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6461 | 2017-08-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on DR. SHELLY D KING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.