Active NPI
Key Dental Services LLC
- Dentist
- Fort Myers, FL
National Provider Identifier
1477016111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- KEY DENTAL SERVICES LLC
- Practice address
- 1316 Burtwood Dr
Fort Myers, FL 33901-8714 - Phone
- (239) 268-0700
- Fax
- (239) 204-4776
- NPI assigned
- Apr 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Farrugia
- Title
- Owner
- Phone
- (239) 230-2033
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Endodontics | 1223E0200X | |||
| Periodontics | 1223P0300X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
1316 Burtwood Dr
Fort Myers, FL 33901-8714
Mailing address
700 2ND Ave N Ste 202
Naples, FL 34102-5701
Phone (239) 230-2033
Other names 1
- DENTL Specialty Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1477016111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 2ND AVE N STE 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025701",
"telephone_number": "239-230-2033",
"fax_number": "239-204-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 BURTWOOD DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018714",
"telephone_number": "239-268-0700",
"fax_number": "239-204-4776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY DENTAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "FARRUGIA",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-230-2033",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DENTL Specialty Group",
"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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.