Lakes Park Children's Dentistry & Orthodontics is a Pediatric Dental Clinic in Fort Myers, Florida. It is located at 7117 Congdon Rd, Suite 100, Fort Myers, FL and its contact number is 239-418-1444. The authorized person for Lakes Park Children's Dentistry & Orthodontics is Dr. Oliver P Favalli
who is Owner/doctor of the clinic and their contact number is 239-418-1444. The primary license number for Lakes Park Children's Dentistry & Orthodontics is DN13738 (Pediatric Dentistry) in Florida. Lakes Park Children's Dentistry & Orthodontics Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Lakes Park Children's Dentistry & Orthodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lakes Park Children's Dentistry & Orthodontics
Specialization:
Pediatric Dentistry
Clinic Address:
7117 Congdon Rd, Suite 100, Fort Myers, Florida, 33908-4216
Phone:
239-418-1444
Fax:
239-418-1888
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Oliver P Favalli
Position:
Owner/doctor
Contact Number:
239-418-1444
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakes Park Children's Dentistry & Orthodontics clinic are as mentioned below.
NPI Number:
1841625910
NPI Enumeration Date:
09 Sep, 2013
NPI Last Update On:
09 Sep, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakes Park Children's Dentistry & Orthodontics are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN13738
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
070912300
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lakes Park Children's Dentistry & Orthodontics 7117 Congdon Rd, Suite 100 Fort Myers, Florida
Zip:
33908-4216
Phone Number:
239-418-1444
Fax Number:
239-418-1888
Patients can reach Lakes Park Children's Dentistry & Orthodontics at 7117 Congdon Rd, Suite 100, Fort Myers, Florida or can call to book an appointment on 239-418-1444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.