Dentists of South Naples, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTS OF SOUTH NAPLES, PA

Practice address

6839 Collier Blvd Ste 103
Naples, FL 34114-3632

Phone

(239) 206-1659

Fax

(239) 206-1659

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Minh B Pham, DDS

Title

Owner/DDS

Phone

(239) 209-1659

Specialties & licenses 1

Addresses

Other names 1

• Dentists of South Naples Doing business as

Practitioners 2

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

• Natalia Pylypenko

  • General Practice Dentistry
  • Naples, FL
  • NPI 1083476782
  NPD (past)
• Laura Alejandra Vergara Campero, DMD

  • General Practice Dentistry
  • Naples, FL
  • NPI 1649847815
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1265913784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8280",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COLLIER BLVD STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143632",
            "telephone_number": "239-206-1659",
            "fax_number": "239-206-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF SOUTH NAPLES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "239-209-1659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of South Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Solutions for Seniors,LLC
• Dental Speciality Group LLC
• Dental Specialty Center of Naples, PA
• Dentistry for Children of Florida 2
• Dentistry for Children of Florida, PLLC
• Gregory Scott Denunzio, D.C.
• Matthew Jordan Denunzio, M.D.
• Alexandria Depasquale, DPT
• Catherine Ann Derenzo, DPT
• Dermatology & Dermasurgery of Naples PA

• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.