Provider Demographics
NPI:1629365937
Name:TODAYS DENTAL OF SWFL INC
Entity Type:Organization
Organization Name:TODAYS DENTAL OF SWFL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-573-2329
Mailing Address - Street 1:1501 VISCAYA PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-6226
Mailing Address - Country:US
Mailing Address - Phone:239-573-2329
Mailing Address - Fax:239-573-4867
Practice Address - Street 1:1501 VISCAYA PKWY STE 1
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-6226
Practice Address - Country:US
Practice Address - Phone:239-573-2329
Practice Address - Fax:239-573-4867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1558572990OtherINDIVIDUAL NPI #