Provider Demographics
NPI:1275788747
Name:COMFORT DENTAL & ORTHODONTICS OF NAPLES, P.A.
Entity Type:Organization
Organization Name:COMFORT DENTAL & ORTHODONTICS OF NAPLES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:DELBOCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-333-0900
Mailing Address - Street 1:1729 HERITAGE TRL
Mailing Address - Street 2:SUITE 904
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-7591
Mailing Address - Country:US
Mailing Address - Phone:239-333-0900
Mailing Address - Fax:
Practice Address - Street 1:1729 HERITAGE TRL
Practice Address - Street 2:SUITE 904
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-7591
Practice Address - Country:US
Practice Address - Phone:239-333-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14008305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization