Elizabeth McKenna Pfent, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN13603 Issued in FL

Practice address

4089 Tamiami TR N
Suite A101
Naples, FL 34103

Phone

(239) 434-5525

Fax

(239) 434-2990

NPI assigned

Feb 11, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FL Southern Dental PPO PA

  dba All About Smiles

  • Dentist
  • Naples, FL
  • NPI 1730006768
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548438773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4089 TAMIAM TR N",
            "address_2": "SUITE A101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-434-5525",
            "fax_number": "239-434-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 TAMIAMI TR N",
            "address_2": "SUITE A101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-434-5525",
            "fax_number": "239-434-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFENT",
        "first_name": "ELIZABETH",
        "middle_name": "MCKENNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Joshua Petrovich
• Mitchell Lee Petusevsky, MD
• Elizabeth M Pezzello
• David Lawrence Pezzullo, MHCI
• Rosemarie Anne Pezzullo, M.D.
• Christopher Joseph Pham, DO
• Gina Pham, PHARMD
• Luann Pham
• Thi Anh Pham
• Timothy Doan Pham, CRNA

• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.