Organization Active NPI

Joanne Dental LLC

  • Dentist
  • Fort Myers, FL
National Provider Identifier
1093724817
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10333 Issued in FL
Legal business name
JOANNE DENTAL LLC
Practice address
13300 - 46 S. Cleveland Avenue
Fort Myers, FL 33907-3883
Phone
(239) 768-1011
Fax
(239) 768-9311
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Joanne Lu, DMD
Title
Dentist
Phone
(239) 768-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN10333 FL Primary

Addresses

Primary practice location

13300 - 46 S. Cleveland Avenue
Fort Myers, FL 33907-3883

Mailing address

13300 - 46 S. Cleveland Avenue
Fort Myers, FL 33907-3883
Phone (239) 768-1011

Other names 1

  • Joanne Lu DMD Other name

National Provider Directory

National Provider Directory

Locations

13300 S Cleveland Ave
Ste 46
Fort Myers, FL 33907
Phone (239) 768-1011

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1093724817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 - 46 S. CLEVELAND AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073883",
            "telephone_number": "239-768-1011",
            "fax_number": "239-768-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 - 46 S. CLEVELAND AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073883",
            "telephone_number": "239-768-1011",
            "fax_number": "239-768-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "239-768-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joanne Lu DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.