Vallo Ft Myers PLLC the Dental Boutique Fort Myers

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALLO FT MYERS PLLC THE DENTAL BOUTIQUE FORT MYERS

Doing business as

The Dental Boutique Fort Myers

Practice address

5100 S Cleveland Ave FL 33907
Fort Myers, FL 33907-2189

Phone

(239) 327-0862

NPI assigned

May 8, 2025

Last updated

May 8, 2025By 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

Manuel Cobos

Title

Operations Officer

Phone

(773) 398-5423

Specialties & licenses 1

Addresses

Other names 1

• The Dental Boutique Fort Myers Doing business as

Locations

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1649060021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S CLEVELAND AVE FL 33907",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072189",
            "telephone_number": "239-327-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S CLEVELAND AVE FL 33907",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072189",
            "telephone_number": "239-327-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLO FT MYERS PLLC THE DENTAL BOUTIQUE FORT MYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "COBOS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "773-398-5423"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Boutique Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Valle, PSY.D.
• Diana Valle
• Michelle Vallejo, ARNP
• Natalia Vallejos, PSY.D.
• Karina Valles
• Sherry Valverde, APRN
• Bert F Van Beever, MD
• Anita Van Blerk
• Krista Van Bruggen, LCSW
• Katelyn Van de Water, CAA

• Dental Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.