Dental Associates of Cape Coral, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DENTAL ASSOCIATES OF CAPE CORAL, PA

Practice address

1715 Cape Coral Parkway West
Suite 11
Cape Coral, FL 33914

Phone

(239) 540-3881

Fax

(239) 540-3883

NPI assigned

Aug 31, 2006

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Gomez

Title

Provider Relations

Phone

(305) 274-2499

Specialties & licenses 4

Addresses

Tax ID family

Dental Associates of Cape Coral PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Associates of Cape Coral PA

  dba Main Street Children's Dentistry of Cape Coral

  • Pediatric Dentistry
  • Cape Coral, FL
  • NPI 1093035727
  NPD tax ID
• Dental Associates of Cape Coral, PA

  dba Main Street Orthodontics of Cape Coral

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cape Coral, FL
  • NPI 1215129275
  NPD tax ID

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1225140718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134 ST",
            "address_2": "2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-274-2499",
            "fax_number": "305-274-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 CAPE CORAL PARKWAY WEST",
            "address_2": "SUITE 11",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33914",
            "telephone_number": "239-540-3881",
            "fax_number": "239-540-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF CAPE CORAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "305-274-2499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Dendis, NP-C
• Dennis Dalton D.D.S., P.a.
• Dhiya Denny
• Dental Associates of Cape Coral PA (Main Street Children's Dentistry of Cape Coral)
• Dental Associates of Cape Coral, PA (Main Street Orthodontics of Cape Coral)
• Dental Sleep Medicine of Southwest Florida LLC
• Dental Specialty Center of Cape Coral
• Dentists on Pine Island, P.a. (Dentists on Pine Island)
• Jameson Depaola, MS
• Deetta L Depiro, APRN

• Periodontics in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.