FREEDOM DENTAL OF FORT MYERS PA
NPI 1609471747
Clinic/Center - Dental in Fort Myers, FL

NPI Status: Active since December 04, 2020

Contact Information

14150 METROPOLIS AVE STE 1
FORT MYERS, FL
ZIP 33912
Phone: (239) 561-9325
Fax: (239) 561-8327

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  • Organization
  • Clinic/Center
  • Dental

About FREEDOM DENTAL OF FORT MYERS PA

This page provides the complete NPI Profile along with additional information for Freedom Dental Of Fort Myers Pa, a provider established in Fort Myers, Florida operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1609471747 assigned on December 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Joseph Charles Vanderbosch Dmd (President)

NPI
1609471747
Provider Name
FREEDOM DENTAL OF FORT MYERS PA
Entity Type
Organization
Location Address
14150 METROPOLIS AVE STE 1 FORT MYERS, FL 33912
Location Phone
(239) 561-9325
Location Fax
(239) 561-8327
Mailing Address
14150 METROPOLIS AVE STE 1 FORT MYERS, FL 33912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2020
Last Update Date
03-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH CHARLES VANDERBOSCH DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(239) 776-9512

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609471747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260987278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 8 + 7 + 2 + 7 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1609471747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609471747, enumerated as an "organization" on December 04, 2020.

The provider is located at 14150 METROPOLIS AVE STE 1 FORT MYERS, FL 33912 and the phone number is (239) 561-9325.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.