Pelican Bay Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PELICAN BAY FAMILY DENTAL

Practice address

5811 Pelican Bay Blvd
Suite 103
Naples, FL 34108-2752

Phone

(239) 597-4902

Fax

(239) 513-0698

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Donna Brown

Title

Office Manager

Phone

(239) 597-4902

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor J Grasso, D.D.S.

  • General Practice Dentistry
  • Naples, FL
  • NPI 1518053685
  NPD (past)
• Shamus Loftus, DDS

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1003030420
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669676078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082752",
            "telephone_number": "239-597-4902",
            "fax_number": "239-513-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082752",
            "telephone_number": "239-597-4902",
            "fax_number": "239-513-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN BAY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-597-4902",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Liliet Pedrosa Perez
• Aaron Peil, PHARMD
• Arianna Pelaez Leon, DMD
• Madeline Pelaez
• Amy Peleshok, APRN
• Pelican Bay Hearing Care, Inc.
• Pelican Bay Retirement Services Inc
• Pelican Sports & Rehabilitation of Naples
• Pelican Sports and Rehabilitation, Inc
• Joel Charles Pelissier, M.D.

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.