Oliver Peter Favalli
Dentist, Pediatric Dentistry in Fort Myers, FL. Individual provider (NPI-1).
NPI number1598874752
StatusActive
Last updated in NPPESMay 25, 2016
Details
- NPI
- 1598874752
- Entity type
- Individual (NPI-1)
- Name
- Oliver Peter Favalli
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- May 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 13738 | FL | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 13738 | FL |
Practice location
5150 Mason Corbin CtSuite #2
Fort Myers, FL 33907
Phone 239-418-1444
Mailing address
7117 Congdon RoadSuite 100
Fort Myers, FL 33908
Phone 239-418-1444 · Fax 239-418-1888
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All 19 Pediatric Dentistry providers in Fort Myers · All 10,624 providers in Fort Myers
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