Provider Demographics
NPI:1477762979
Name:KAPLAN, JAN ERIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:ERIC
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 COLLEGE PKWY
Mailing Address - Street 2:SUITE # 4
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4882
Mailing Address - Country:US
Mailing Address - Phone:239-433-4404
Mailing Address - Fax:239-437-2240
Practice Address - Street 1:8801 COLLEGE PKWY
Practice Address - Street 2:SUITE # 4
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4882
Practice Address - Country:US
Practice Address - Phone:239-433-4404
Practice Address - Fax:239-437-2240
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 120091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice