Organization · Type 2 NPI
Collier Health Services Inc
Pediatric Dentistry · Immokalee, FL
NPI number
1003065723
Active
Practice location
1454 Madison Ave W
Immokalee, FL 34142-2200
Fax (239) 658-3175
Mailing address
7007 Lely Cultural Pkwy, Edison College Building L
Naples, FL 34113-8976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endodontics | 1223E0200X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Periodontics | 1223P0300X | None listed |
| Dental Hygienist | 124Q00000X | None listed |
| Dental Assistant | 126800000X | None listed |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1003065723
Collier Health Services Inc's National Provider Identifier is 1003065723, issued on Sep 18, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Immokalee, FL. The record was last updated on Nov 10, 2021.