EDGEWATER FAMILY DENTISTRY PLLC
NPI 1093539330
Clinic/Center - Dental in Cape Coral, FL

Active since November 13, 2024
3512 DEL PRADO BLVD S STE 102, CAPE CORAL, FL 33904(239) 540-1033 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewater Family Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWATER FAMILY DENTISTRY PLLC (NPI 1093539330), doing business as Edgewater Family Dentistry, is a healthcare organization registered as a dental in Cape Coral, Florida and active in the NPI registry since November 2024. The organization lists Jordan Tomalty, Owner, as its authorized official.

NPPES Registry Identity

NPI1093539330
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDGEWATER FAMILY DENTISTRY PLLC
Location Address3512 DEL PRADO BLVD S STE 102Cape Coral, FL 33904-7261
Mailing Address3512 Del Prado Blvd S Ste 102Cape Coral, FL 33904-7261 · (239) 540-1033
Organization SubpartNo
Authorized OfficialJordan TomaltyOwner · (561) 633-9676
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1093539330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3512 DEL PRADO BLVD S STE 102, Cape Coral, FL 33904

Other Names 1

Doing Business AsEdgewater Family Dentistry

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgewater Family Dentistry PLLC's NPI number?

The NPI number for Edgewater Family Dentistry PLLC is 1093539330. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is doing business as Edgewater Family Dentistry.

Where is Edgewater Family Dentistry PLLC located?

Edgewater Family Dentistry PLLC is located at 3512 Del Prado Blvd S Ste 102, Cape Coral, FL 33904. The listed phone number is (239) 540-1033.

What is Edgewater Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Edgewater Family Dentistry PLLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.