Organization Active NPI

Affordable Dentures & Implants - Fort Myers, P.a.

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1194557033
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - FORT MYERS, P.A.
Practice address
4329 Cleveland Ave Ste 250
Fort Myers, FL 33901-9085
Phone
(239) 936-6722
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Eddy Romero Matos, DMD
Title
Owner
Phone
(239) 936-6722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4329 Cleveland Ave Ste 250
Fort Myers, FL 33901-9085

Mailing address

4329 Cleveland Ave Ste 250
Fort Myers, FL 33901-9085
Phone (239) 936-6722

Other names 1

  • Affordable Dentures & Implants- Fort Myers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1194557033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 CLEVELAND AVE STE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019085",
            "telephone_number": "239-936-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 CLEVELAND AVE STE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019085",
            "telephone_number": "239-936-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - FORT MYERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "ROMERO MATOS",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-936-6722",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants- Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 19, 2024; 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.