Active NPI
Friendly Dental PA
- Dentist
- Estero, FL
National Provider Identifier
1780342733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- FRIENDLY DENTAL PA
- Practice address
- 23100 Via Villagio
Estero, FL 33928-8301 - Phone
- (239) 529-4159
- NPI assigned
- Dec 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Mamo
- Title
- Office Manager
- Phone
- (239) 529-4159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
23100 Via Villagio
Estero, FL 33928-8301
Mailing address
16520 S Tamiami TRL Ste 106
Fort Myers, FL 33908-5319
Phone (239) 529-4159
Other practice location 1
16520 S Tamiami Trl Ste 106
Fort Myers, FL 33908-5319
Phone (239) 529-4159
National Provider Directory
National Provider DirectoryLocations
23100 Via Villagio
Estero, FL 33928
Phone (239) 529-4159
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.
-
- Dentist
- Estero, FL
- NPI 1154733046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639353600000",
"number": "1780342733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16520 S TAMIAMI TRL STE 106",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085319",
"telephone_number": "239-529-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23100 VIA VILLAGIO",
"city": "ESTERO",
"state": "FL",
"postal_code": "339288301",
"telephone_number": "239-529-4159"
}
],
"practiceLocations": [
{
"address_1": "16520 S Tamiami Trl Ste 106",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339085319",
"country_code": "US",
"telephone_number": "239-529-4159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FRIENDLY DENTAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A",
"authorized_official_last_name": "MAMO",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "239-529-4159"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.