KEY DENTAL SERVICES LLC (NPI# 1477016111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477016111 |
| Entity Type | Organization |
| Organization Name | KEY DENTAL SERVICES LLC |
| Practice Address |
1316 Burtwood Dr Fort Myers FL 33901-8714 |
| Mailing Address |
700 2nd Ave N Ste 202 Naples FL 34102-5701 |
| Practice Telephone | 2392680700 |
| Practice Fax Number | 2392044776 |
| Mailing Telephone | 2392302033 |
| Mailing Fax Number | 2392044776 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | DR. ALAN FARRUGIA (OWNER) |
| Authorized Official Telephone | 2392302033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| DENTL Specialty Group | Doing Business As Name - Organization |
| Street Address |
1316 BURTWOOD DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808078 | Anna Krizan Fano | Dentist | 14024 Shimmering Lake Ct, Fort Myers, FL 33907-1821 | 2020-07-14 |
| 1083236426 | Qaysir Syne | Dentist | 15755 Portofino Springs Blvd Apt 103, Fort Myers, FL 33908-8533 | 2020-05-08 |
| 1154988491 | Deena H Hawasli | Dentist | 9011 Daniels Pkwy Ste 105, Fort Myers, FL 33912-2089 | 2019-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1942724315 | Andrew Frey | Dentist | 13611 Mcgregor Blvd Ste 3, Fort Myers, FL 33919-6042 | 2017-07-27 |
| 1619497138 | Sejal Pravin Naik | Dentist | 5100 S Cleveland Ave # 315-316, Fort Myers, FL 33907-2189 | 2017-06-26 |
| 1013448463 | Tyler Joseph Griffith | Dentist | 6871 Daniels Pkwy Ste 100, Fort Myers, FL 33912-1510 | 2017-03-27 |
| 1447704671 | Ivelisse Marie Ortiz | Dentist | 11741 S Cleveland Ave Ste 30, Fort Myers, FL 33907-2854 | 2016-08-04 |
| 1669830212 | Emily Plaza | Dentist | 9250 College Pkwy Ste 1, Fort Myers, FL 33919-4847 | 2016-02-10 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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| 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.