Provider Demographics
NPI:1619033941
Name:GEAR & YAVORSKY D.D.S. P.A.
Entity Type:Organization
Organization Name:GEAR & YAVORSKY D.D.S. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:GEAR
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:239-482-5311
Mailing Address - Street 1:6323 CORPORATE CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-3506
Mailing Address - Country:US
Mailing Address - Phone:239-482-5311
Mailing Address - Fax:239-482-8531
Practice Address - Street 1:6323 CORPORATE CT
Practice Address - Street 2:SUITE A
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3506
Practice Address - Country:US
Practice Address - Phone:239-482-5311
Practice Address - Fax:239-482-8531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL86845OtherBLUE CROSS BLUE SHIELD
FL67348OtherBLUE CROSS BLUE SHIELD
FL67348OtherBLUE CROSS BLUE SHIELD
FL86845OtherBLUE CROSS BLUE SHIELD