Sanibel Island Dental LLC

Organization Active NPI General Practice Dentistry · Sanibel, FL

NPI 1710314489 · NPPES record last updated Sep 26, 2013

Key facts

NPI
1710314489
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
SANIBEL ISLAND DENTAL LLC
Practice address
1648 Periwinkle Way Ste C1
Sanibel, FL 33957-4406
Phone
(239) 395-1211
Fax
(239) 395-2303
NPI assigned
Sep 26, 2013
Organization subpart
No

Authorized official

Name
Dr. Matthew L Davis, D.D.S.
Title
Owner
Phone
(239) 939-2272

Practitioners 2

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

National Provider Directory

Locations

40 Barkley Cir
Ste 2
Fort Myers, FL 33907
Phone (239) 939-2272

1648 Periwinkle Way
Ste C1
Sanibel, FL 33957
Phone (239) 395-1211

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

1648 Periwinkle Way Ste C1
Sanibel, FL 33957-4406

Mailing address

40 Barkley Cir Ste 2
Fort Myers, FL 33907-4518
Phone (239) 939-2272

Other providers in Sanibel, FL

All providers in Sanibel, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.