Towncare Dental of Bonita Springs, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TOWNCARE DENTAL OF BONITA SPRINGS, PA

Doing business as

Main Street Children's Dentistry of Bonita Springs

Practice address

16565 Vanderbilt Dr
Bonita Springs, FL 34134-7552

Phone

(239) 322-1262

NPI assigned

Jun 23, 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 Bonita Springs Doing business as

Tax ID family

Main Street Children's Dentistry of Bonita Springs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Towncare Dental of Bonita Springs, P.a

  • General Practice Dentistry
  • Bonita Springs, FL
  • NPI 1174948723
  NPD tax ID

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1477864528",
    "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": "16565 VANDERBILT DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347552",
            "telephone_number": "239-322-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNCARE DENTAL OF BONITA SPRINGS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "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 Bonita Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Towncare Dental of Bonita Springs PA
• Towncare Dental of Bonita Springs, P.a
• Trae M Sinn PA
• Trails Edge Surgery Center, LLC
• Trans World Therapy, LLC (Trans World Therapy)
• Karen Traugh, DPT
• Travis a. Gresham, III, O.D.

• Pediatric Dentistry in Bonita Springs, FL
• Providers in Bonita Springs, 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.