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VALLO FT MYERS PLLC THE DENTAL BOUTIQUE FORT MYERS
NPI 1649060021
Clinic/Center - Dental in Fort Myers, FL

Active since May 08, 2025
5100 S CLEVELAND AVE FL 33907, FORT MYERS, FL 33907(239) 327-0862 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Vallo Ft Myers Pllc The Dental Boutique Fort Myers NPPES

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

VALLO FT MYERS PLLC THE DENTAL BOUTIQUE FORT MYERS (NPI 1649060021), doing business as The Dental Boutique Fort Myers, is a healthcare organization registered as a dental in Fort Myers, Florida and active in the NPI registry since May 2025. The organization lists Manuel Cobos, Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1649060021
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVALLO FT MYERS PLLC THE DENTAL BOUTIQUE FORT MYERS
Location Address5100 S CLEVELAND AVE FL 33907Fort Myers, FL 33907-2189
Mailing Address5100 S Cleveland Ave Fl 33907Fort Myers, FL 33907-2189 · (239) 327-0862
Phone(239) 327-0862
Organization SubpartNo
Authorized OfficialManuel CobosOperations Officer · (773) 398-5423
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1649060021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5100 S CLEVELAND AVE FL 33907, Fort Myers, FL 33907
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Other Names 1

Doing Business AsThe Dental Boutique Fort Myers

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 Vallo Ft Myers PLLC The Dental Boutique Fort Myers's NPI number?

The NPI number for Vallo Ft Myers PLLC The Dental Boutique Fort Myers is 1649060021. It was assigned to this organization in the NPPES registry on May 8, 2025. The provider is doing business as The Dental Boutique Fort Myers.

Where is Vallo Ft Myers PLLC The Dental Boutique Fort Myers located?

Vallo Ft Myers PLLC The Dental Boutique Fort Myers is located at 5100 S Cleveland Ave Fl 33907, Fort Myers, FL 33907. The listed phone number is (239) 327-0862.

What is Vallo Ft Myers PLLC The Dental Boutique Fort Myers'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 Vallo Ft Myers PLLC The Dental Boutique Fort Myers was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.