SOUTHWEST FLORIDA ORAL & FACIAL SURGERY (NPI# 1649230210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649230210 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST FLORIDA ORAL & FACIAL SURGERY |
| Practice Address |
8267 College Parkway Fort Myers FL 33919-5193 |
| Mailing Address |
8267 College Pkwy Fort Myers FL 33919-5193 |
| Practice Telephone | 2399383025 |
| Practice Fax Number | 2399361954 |
| Mailing Telephone | 2399383025 |
| Mailing Fax Number | 2399361954 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | KATHY SIANO (BILLING INSURANCE CORRDINATOR) |
| Authorized Official Telephone | 23999383025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
8267 COLLEGE PARKWAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593980 | Mark R Streater | Dentist | 8267 College Parkway, Fort Myers, FL 33919 | 2006-03-25 |
| 1689830838 | Heather L Moulzolf | Dentist | 8267 College Parkway, Fort Myers, FL 33919 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316078611 | James Richard Piano | Dentist | 11166 Harbour Estates Cir, Fort Myers, FL 33908-7946 | 2007-03-08 |
| 1033176037 | Robert Dale Gear Jr. | Dentist | 26 Barkley Cir, Suite A, Fort Myers, FL 33907-7530 | 2006-04-26 |
| 1275593980 | Mark R Streater | Dentist | 8267 College Parkway, Fort Myers, FL 33919 | 2006-03-25 |
| 1528027844 | Gerald Laboda | Dentist | 5285 Summerlin Rd, Suite 101, Fort Myers, FL 33919-7602 | 2006-03-23 |
| 1245299569 | Harvey S Satz Dmd | Dentist | 8267 College Pkwy, Fort Myers, FL 33919-5193 | 2006-03-23 |
| 1174099196 | Kevin Hall Dds Omfs Pllc | Dentist | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2018-10-17 |
| 1689830838 | Heather L Moulzolf | Dentist | 8267 College Parkway, Fort Myers, FL 33919 | 2008-08-06 |
| 1255491700 | Rafael Alcalde | Dentist | 5150 Mason Corbin Ct, Suite #2, Fort Myers, FL 33907-7733 | 2006-12-12 |
| 1164482873 | Timothy D Hogan | Dentist | 8267 College Pkwy, Fort Myers, FL 33919-5193 | 2006-03-25 |
| 1912966201 | Tinerfe J Tejera | Dentist | 8267 College Pkwy, Fort Myers, FL 33919-5193 | 2006-03-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on SOUTHWEST FLORIDA ORAL & FACIAL SURGERY.
| 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.