Gustavo Enrique Fuentes in Fort Myers - Endodontics
Gustavo Enrique Fuentes - NPI 1861564429
Gustavo Enrique Fuentes is a Endodontics in Fort Myers, Florida. Gustavo Enrique Fuentes practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Gustavo Enrique Fuentes is 1861564429. The last update date is 2007-07-08.
Gustavo Enrique Fuentes's current location address is 13650 Metropolis Ave, Fort Myers, Florida. You can contact this provider via phone number 2395613636 and fax number 2395613699. The mailing address for Gustavo Enrique Fuentes is 13650 Metropolis Ave, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavo Enrique Fuentes |
|---|---|
| Address | 13650 Metropolis Ave, Fort Myers, Florida |
| Phone Number | 2395613636 |
| Fax Number | 2395613699 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1861564429 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13650 Metropolis Ave |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339124375 |
| Phone Number | 2395613636 |
| Fax Number | 2395613699 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DN12498 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code issued to Gustavo Enrique Fuentes by the Centers for Medicare & Medicaid Services?
The Gustavo Enrique Fuentes has been assigned the NPI (National Provider Identifier) 1861564429 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gustavo Enrique Fuentes's facilities are geographically located?
The facilities of Gustavo Enrique Fuentes are physically situated at the following location: 13650 Metropolis Ave, Fort Myers, FL, 339124375.
What is Gustavo Enrique Fuentes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gustavo Enrique Fuentes's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did the Gustavo Enrique Fuentes receive the assignment of its 1861564429 from the Centers for Medicare & Medicaid Services?
The Gustavo Enrique Fuentes was issued its 1861564429 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information regarding Gustavo Enrique Fuentes, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gustavo Enrique Fuentes, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV