Jennifer L. Cavanaugh, DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JENNIFER L. CAVANAUGH, DMD LLC

Doing business as

smiLee Pediatric Dentistry & Orthodontics

Practice address

11924 Fairway Lakes Dr
Fort Myers, FL 33913-8337

Phone

(412) 370-3634

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Cavanaugh, DMDNPI 1740577352

Title

Owner

Phone

(412) 370-3634

Specialties & licenses 1

Addresses

Other names 1

• smiLee Pediatric Dentistry & Orthodontics Doing business as

Locations

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.

• Jennifer L Cavanaugh, D.M.D.

  • Pediatric Dentistry
  • Lakeland, FL
  • NPI 1740577352
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1982296240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 FAIRWAY LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138337",
            "telephone_number": "412-370-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 FAIRWAY LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138337",
            "telephone_number": "412-370-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. CAVANAUGH, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-370-3634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smiLee Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seth William Jelinek, M.D.
• Michelle Patricia Jemmott, MBA
• Daniel Alan Jenkins
• Rebecca Ann Jenkins, RN, ANP,ACNP
• Shelane Alexis Jenkins, DDS
• Jennifer Sassi PA
• Kerry Ann Jennison-Lotito
• Katherine Ann Jensen, CRNA
• Sara Jepsen, APRN
• Jerald Vizzone, D.O.

• Pediatric Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatric Dentistry in Florida

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

Verify at the official NPI Registry.