Integrative Oral Health & Wellness, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 13540 Issued in FL

Legal business name

INTEGRATIVE ORAL HEALTH & WELLNESS, LLC

Doing business as

ElderCare Oral Health

Practice address

1187 8TH St S Unit 4
Naples, FL 34102-7306

Phone

(239) 289-2881

Fax

(866) 583-2067

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By 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

Dr. Kristin Elizabeth Outlan, DMDNPI 1891728556

Title

Owner/Manager/Dentist

Phone

(239) 289-2881

Specialties & licenses 1

Addresses

Other names 1

• ElderCare Oral Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Elizabeth Outlan, DMD

  • General Practice Dentistry
  • Naples, FL
  • NPI 1891728556
  NPD (past) Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1285971846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PALM RIVER BLVD APT B102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101102",
            "telephone_number": "239-289-2881",
            "fax_number": "866-583-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 8TH ST S UNIT 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341027306",
            "telephone_number": "239-289-2881",
            "fax_number": "866-583-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE ORAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "OUTLAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/MANAGER/DENTIST",
        "authorized_official_telephone_number": "239-289-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 13540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ElderCare Oral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine and Aesthetics of Naples LLC (Internal Medicine and Aesthetics of Naples)

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.