Individual provider · Type 1 NPI

Oliver Peter Favalli

Pediatric Dentistry · Fort Myers, FL

NPI number 1598874752 Active

Practice location

5150 Mason Corbin Ct, Suite #2
Fort Myers, FL 33907

Mailing address

7117 Congdon Road, Suite 100
Fort Myers, FL 33908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X13738 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X13738 (FL)

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.

4 other providers at this address

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About NPI 1598874752

Oliver Peter Favalli's National Provider Identifier is 1598874752, issued on Aug 30, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Myers, FL. The record was last updated on May 25, 2016.