Lauren M Governale, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN10507 Issued in FL

Practice address

7007 Lely Cultural Pkwy
Naples, FL 34113-8976

Phone

(239) 775-3052

Fax

(239) 775-7035

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lauren Marilynn Governale Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1174614465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 COUNTESS CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101005",
            "telephone_number": "239-592-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 LELY CULTURAL PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138976",
            "telephone_number": "239-775-3052",
            "fax_number": "239-775-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVERNALE",
        "first_name": "LAUREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN10507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0758132",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GOVERNALE",
            "middle_name": "MARILYNN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Gorman, RDH
• Patricia R Gorton, PA-C
• Travis C Goss Jr., DMD
• Perry A Gotsis, MD
• Richard Samuel Gould, M.D.
• Regina M Gower, L.C.S.W.
• Grant James Grabarczyk
• Grace Adult Family Care Home
• Alexandra Grace, DO, MPH
• Cassidy Grachus

• Pediatric Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.