MIDPOINT DENTISTRY (NPI# 1841625910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841625910 |
| Entity Type | Organization |
| Organization Name | MIDPOINT DENTISTRY |
| Other Organization Name | LAKES PARK CHILDREN'S DENTISTRY & ORTHODONTICS |
| Practice Address |
7117 Congdon Rd Suite 100 Fort Myers FL 33908-4216 |
| Practice Telephone | 2394181444 |
| Practice Fax Number | 2394181888 |
| Mailing Telephone | 2394181444 |
| Mailing Fax Number | 2394181888 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | DR. OLIVER P FAVALLI (OWNER/DOCTOR) |
| Authorized Official Telephone | 2394181444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN13738 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 070912300 | 05 |
| Other Name | Type Code |
|---|---|
| Lakes Park Children's Dentistry & Orthodontics | Doing Business As Name - Organization |
| Street Address |
7117 CONGDON RD SUITE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228609 | Beth Amon | Physical Therapy Assistant | 7117 Congdon Rd, Suite 2b, Fort Myers, FL 33908-4234 | 2016-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| 1538577549 | Joana Lastres | Dentist | 5100 S Cleveland Ave # 315316, Fort Myers, FL 33907-2189 | 2014-07-23 |
| 1598874752 | Oliver Peter Favalli | Dentist | 5150 Mason Corbin Ct, Suite #2, Fort Myers, FL 33907 | 2006-08-30 |
| 1013981620 | Tim M Verwest | Dentist | 9371 Cypress Lake Dr, Suite7, Fort Myers, FL 33919-4939 | 2006-02-13 |
| 1518370360 | Emily Hanna Foster | Dentist | 45 Barkley Cir, Fort Myers, FL 33907-7531 | 2014-06-10 |
| 1457791238 | Tim M. Verwest, D.m.d., P.a. | Dentist | 9371 Cypress Lake Dr, Suite 7, Fort Myers, FL 33919-4939 | 2013-06-26 |
| 1437479169 | Ft. Myers Dental Services, Pa | Dentist | 6150 Diamond Centre Ct, Bldg 300, Suite 2, Fort Myers, FL 33912-4365 | 2010-06-04 |
| 1023156247 | Gregory G Hill | Dentist | 45 Barkley Cir, Fort Myers, FL 33907-7531 | 2007-02-01 |
| 1528106747 | Roy V Green | Dentist | 45 Barkley Cir, Fort Myers, FL 33907-7531 | 2007-02-01 |
| 1912045147 | Anissa Ahmadi | Dentist | 45 Barkley Cir, Fort Myers, FL 33907-7531 | 2007-02-01 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MIDPOINT DENTISTRY.
| 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.