Panther Hollow Family Dental PA
Organization Active NPI General Practice Dentistry · Port Charlotte, FL
NPI 1104491877 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1104491877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- PANTHER HOLLOW FAMILY DENTAL PA
- Practice address
- 19240 Quesada Ave
Port Charlotte, FL 33948-3126 - Phone
- (941) 743-7435
- NPI assigned
- May 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Ashley Nicole Younkman-Reynolds, DMD
- Title
- Owner/Dentist
- Phone
- (941) 661-1044
Practitioners 8
-
Samanta Andisco, D.M.D.
-
Joseph Charles Bender, D.M.D.
-
Melissa Mae Duston, DDS
-
Richard Gelder, DMD
-
Timothy Palmer, DDS
-
Robert Gordon Coseo, DDS
-
Behnaz Sharifi, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
19240 Quesada Ave
Port Charlotte, FL 33948-3126
Mailing address
19240 Quesada Ave
Port Charlotte, FL 33948-3126
Phone (941) 661-1044
Other names
- Panther Hollow Dental Lodge
Other providers in Port Charlotte, FL
- Yarima Regla Palmero Castellanos
- Barbara Palomino de Velasco
- Pamela Papola MD PA
- Rohit Pankhaniya
- Panther Hollow Dental Lodge, PL
- Ebrahim Papan
- Pamela Papola
- Stacey Pappas
- Lidia Parada Pena
- Paradise Dental
All providers in Port Charlotte, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.