Ft. Myers Dental Services, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FT. MYERS DENTAL SERVICES, PA

Doing business as

Main Street Children's Dentistry of Ft. Myers

Practice address

6150 Diamond Centre CT
BLDG 300, Suite 2
Fort Myers, FL 33912-4365

Phone

(239) 768-2485

NPI assigned

Jun 4, 2010

Last updated

Jul 10, 2012By 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. Melvyn Gober, DDS

Title

Ceo

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Other names 1

• Main Street Children's Dentistry of Ft. Myers Doing business as

Tax ID family

Ft Myers Dental Service 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.

• Ft Myers Dental Service PA

  dba Main Street Orthodontics of Ft Myers

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Myers, FL
  • NPI 1942492806
  NPD tax ID
• Ft.Myers Dental Services, P.a.

  dba Towncare Dental of Ft.Myers

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1528171071
  NPD tax ID

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1437479169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST",
            "address_2": "2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864461",
            "telephone_number": "305-274-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "BLDG 300, SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124365",
            "telephone_number": "239-768-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. MYERS DENTAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-274-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Children's Dentistry of Ft. Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ft Myers Alf BSLC LLC (Lamplight Inn)
• Ft Myers Dental Service PA (Main Street Orthodontics of Ft Myers)
• Ft Myers Digestive Health and Pain ASC LLC (Center for Digestive Health and Pain Management)
• Ft Myers FL Ophthalmology ASC LLC (University Eye Surgery Center)
• Ft. Myers Chiropractic Center, Inc.
• Ft. Myers MRI, LLC
• Ft. Myers Women's Health Center, Inc.
• Ft.Myers Dental Services, P.a. (Towncare Dental of Ft.Myers)
• Jonathan L Fucella, LCSW
• Paul D Fuchs, DO

• Pediatric Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.