Organization Active NPI

Oak Dental Care PA

Doing business as Oak Dental Care

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1508426982
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OAK DENTAL CARE PA
Doing business as
Oak Dental Care
Practice address
6844 International Center Blvd Ste a
Fort Myers, FL 33912-7154
Phone
(239) 595-9300
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Dr. Maria-Marcia Carvalho, DDSNPI 1831340512
Title
President
Phone
(312) 608-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6844 International Center Blvd Ste a
Fort Myers, FL 33912-7154

Mailing address

479 N Harlem Ave Apt 1324
Oak Park, IL 60301-6419
Phone (312) 608-8088

Other names 1

  • Oak Dental Care Doing business as

National Provider Directory

National Provider Directory

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": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1508426982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 N HARLEM AVE APT 1324",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016419",
            "telephone_number": "312-608-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 INTERNATIONAL CENTER BLVD STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127154",
            "telephone_number": "239-595-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "MARIA-MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-608-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Dental Care",
            "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 18, 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.

Verify at the official NPI Registry.