NPIMap

Organization Active NPI

Dental Choice PLLC

Doing business as ClearChoice Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Myers, FL
National Provider Identifier
1316670938
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DENTAL CHOICE PLLC
Doing business as
ClearChoice Dental Implant Center
Practice address
9954 Interstate Commerce Dr Ste 120
Fort Myers, FL 33913-9782
Phone
(315) 454-6000
NPI assigned
Jul 1, 2022
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL CHOICE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Raymond DixonNPI 1790088755
Title
Owner
Phone
(941) 708-6504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

9954 Interstate Commerce Dr Ste 120
Fort Myers, FL 33913-9782

Mailing address

PO Box 70887
Cleveland, OH 44190-3189

Other names 1

  • ClearChoice Dental Implant Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Choice PLLC2 organizations share this tax ID, including this one
Part of
Dental Choice PLLC

Other organizations with this tax ID 1

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

Locations

9950 Interstate Commerce Dr
Unit 120
Fort Myers, FL 33913

9954 Interstate Commerce Dr
Ste 120
Fort Myers, FL 33913

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1316670938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441903189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9954 INTERSTATE COMMERCE DR STE 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139782",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CHOICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL CHOICE PLLC",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-708-6504"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearChoice Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ClearChoice Dental Implant Center",
            "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 Jun 13, 2023; 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.