Gulfshore Oral Surgery, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GULFSHORE ORAL SURGERY, PA

Practice address

1585 Pine Ridge Rd Ste 2
Naples, FL 34109-2105

Phone

(239) 262-3300

Fax

(239) 262-3333

NPI assigned

May 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven John Fontana, DDS, MDNPI 1790803872

Title

President

Phone

(239) 262-3300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven John Fontana, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Naples, FL
  • NPI 1790803872
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1013354174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 PINE RIDGE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092105",
            "telephone_number": "239-262-3300",
            "fax_number": "239-262-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 PINE RIDGE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092105",
            "telephone_number": "239-262-3300",
            "fax_number": "239-262-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE ORAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-262-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfcoast Foot and Ankle Specialists
• Gulfcoast Orthopaedic Specialists
• Gulfcoast Pelvic Health and Wellness Center
• Gulfshore Anesthesia Services LLC
• Gulfshore Endoscopy Center LLC
• Gulfshore Pharmacy Inc. (Sunshine Pharmacy Downtown)
• Gulfshore Primary Care LLC
• Gulfshore Private Home Care, LLC
• Gulfshore Surgical Associates PL
• Gulfview Dental II PLC

• Oral and Maxillofacial Surgery (Dentist) in Naples, FL
• Providers in Naples, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.