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OLEAN DENTAL STUDIO PLLC
NPI 1629729504
Clinic/Center - Dental in Port Charlotte, FL

Active since January 12, 2022
21202 OLEAN BLVD STE E2, PORT CHARLOTTE, FL 33952(941) 629-3200(941) 629-2113 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olean Dental Studio Pllc NPPES

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

OLEAN DENTAL STUDIO PLLC (NPI 1629729504) is a healthcare organization registered as a dental in Port Charlotte, Florida and active in the NPI registry since January 2022. The organization lists Alberto Lopez De Castro Bolufer, Owner, as its authorized official.

NPPES Registry Identity

NPI1629729504
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameOLEAN DENTAL STUDIO PLLC
Location Address21202 OLEAN BLVD STE E2Port Charlotte, FL 33952-6723
Mailing Address21202 Olean Blvd Ste E2Port Charlotte, FL 33952-6723 · (941) 629-3200 · Fax (941) 629-2113
Phone(941) 629-3200
Fax(941) 629-2113
Organization SubpartNo
Authorized OfficialAlberto Lopez De Castro BoluferOwner · (786) 718-5655
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1629729504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
21202 OLEAN BLVD STE E2, Port Charlotte, FL 33952
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Other Providers at the Same Location NPPES 2

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

DR. RANDAL C ROBERTSON DMD
Dentist (General Practice)
21202 OLEAN BLVD STE E2
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-3200
DR. GLENDA IVIS DE LA PAZ DMD
Dentist (General Practice)
21202 OLEAN BLVD STE E2
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-3200

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 Olean Dental Studio PLLC's NPI number?

The NPI number for Olean Dental Studio PLLC is 1629729504. It was assigned to this organization in the NPPES registry on January 12, 2022.

Where is Olean Dental Studio PLLC located?

Olean Dental Studio PLLC is located at 21202 Olean Blvd Ste E2, Port Charlotte, FL 33952. The listed phone number is (941) 629-3200.

What is Olean Dental Studio 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 Olean Dental Studio PLLC was last updated on January 12, 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.