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FANTASEA PEDIATRIC DENTISTRY
NPI 1457874588
Dentist - Pediatric Dentistry in Naples, FL

Active since July 20, 2017
1890 SW HEALTH PKWY STE 104, NAPLES, FL 34109(239) 594-1171 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017 (2 updates tracked since 2017).

About Fantasea Pediatric Dentistry NPPES

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

FANTASEA PEDIATRIC DENTISTRY (NPI 1457874588) is a healthcare organization registered as a pediatric dentistry in Naples, Florida and active in the NPI registry since July 2017. The organization lists Joana Lastres, Owner, as its authorized official.

NPPES Registry Identity

NPI1457874588
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFANTASEA PEDIATRIC DENTISTRY
Location Address1890 SW HEALTH PKWY STE 104Naples, FL 34109-0473
Mailing Address1890 Sw Health Pkwy Ste 104Naples, FL 34109-0473 · (239) 594-1171
Phone(239) 594-1171
Organization SubpartNo
Authorized OfficialJoana LastresOwner · (239) 594-1171
Enumeration DateJuly 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1457874588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN21762
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1890 SW HEALTH PKWY STE 104, Naples, FL 34109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fantasea Pediatric Dentistry's NPI number?

The NPI number for Fantasea Pediatric Dentistry is 1457874588. It was assigned to this organization in the NPPES registry on July 20, 2017.

Where is Fantasea Pediatric Dentistry located?

Fantasea Pediatric Dentistry is located at 1890 SW Health Pkwy Ste 104, Naples, FL 34109. The listed phone number is (239) 594-1171.

What is Fantasea Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fantasea Pediatric Dentistry was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.