CORAL DENTAL AND DENTURE PA – Dental Clinic/Center, NPI 1366796450

CORAL DENTAL AND DENTURE PA is a healthcare provider. based in Fort myers, Florida. specializing in Dental Clinic/Center. The organization holds a License No. DN 19837 (FL). The NPI Number for CORAL DENTAL AND DENTURE PA is 1366796450

Main info

Organization
Name
CORAL DENTAL AND DENTURE PA
NPI
1366796450
Phone
(239) 542-3925
Address
12711 MCGREGOR BLVD
Authorized Official
DR. JUAN CARLOS CASTELLANOS PRESIDENT DDS
Enumeration Date
29 October 2012
Last Update Date
28 April 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for CORAL DENTAL AND DENTURE PA

  • 12711 MCGREGOR BLVD

    FORT MYERS, FL 339194412

    Phone: (239) 542-3925

    Fax: (239) 210-5903

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33919)

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Frequently asked questions

What is the standard ID for CORAL DENTAL AND DENTURE PA in the U.S.?
In the U.S., CORAL DENTAL AND DENTURE PA is identified by NPI 1366796450.
Should I treat CORAL DENTAL AND DENTURE PA as an active provider?
Patients and plans typically see CORAL DENTAL AND DENTURE PA as active in the national extract.
What type of care does CORAL DENTAL AND DENTURE PA provide?
CORAL DENTAL AND DENTURE PA's profile centers on Dental Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CORAL DENTAL AND DENTURE PA?
CORAL DENTAL AND DENTURE PA is associated with Fort Myers, Florida in the same public data insurers reference.
Why is information missing for CORAL DENTAL AND DENTURE PA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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