Provider Demographics
NPI:1861002826
Name:GEAR, OAKES-LOTTRIDGE, SCHEEL AND HAMM DENTISTRY PARTNERSHIP
Entity Type:Organization
Organization Name:GEAR, OAKES-LOTTRIDGE, SCHEEL AND HAMM DENTISTRY PARTNERSHIP
Other - Org Name:CALOOSA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-369-5897
Mailing Address - Street 1:12580 UNIVERSITY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5686
Mailing Address - Country:US
Mailing Address - Phone:239-482-7076
Mailing Address - Fax:
Practice Address - Street 1:12580 UNIVERSITY DR STE 101
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5686
Practice Address - Country:US
Practice Address - Phone:239-482-7076
Practice Address - Fax:239-481-6408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty