CORAL DENTAL AND DENTURE PA
NPI 1366796450
Clinic/Center - Dental in Fort Myers, FL

Active since October 29, 2012
12711 MCGREGOR BLVD, FORT MYERS, FL 33919(239) 542-3925(239) 210-5903 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coral Dental And Denture Pa NPPES

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

CORAL DENTAL AND DENTURE PA (NPI 1366796450) is a healthcare organization registered as a dental in Fort Myers, Florida and active in the NPI registry since October 2012. The organization lists Juan Carlos Castellanos, President, as its authorized official.

NPPES Registry Identity

NPI1366796450
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCORAL DENTAL AND DENTURE PA
Location Address12711 MCGREGOR BLVDFort Myers, FL 33919-4412
Mailing Address12711 Mcgregor BlvdFort Myers, FL 33919-4412 · (239) 542-3925 · Fax (239) 210-5903
Fax(239) 210-5903
Organization SubpartNo
Authorized OfficialJuan Carlos CastellanosPresident · (239) 603-5210
Enumeration DateOctober 29, 2012
Last NPPES UpdateApril 28, 2016
NPI 1366796450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in FL · DN 19837
12711 MCGREGOR BLVD, Fort Myers, FL 33919

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
12711 MCGREGOR BLVD
FORT MYERS, FL 33919

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 Coral Dental And Denture PA's NPI number?

The NPI number for Coral Dental And Denture PA is 1366796450. It was assigned to this organization in the NPPES registry on October 29, 2012.

Where is Coral Dental And Denture PA located?

Coral Dental And Denture PA is located at 12711 Mcgregor Blvd, Fort Myers, FL 33919. The listed phone number is (239) 542-3925.

What is Coral Dental And Denture PA'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 Coral Dental And Denture PA was last updated on April 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.