Doctor Name: | DR. TIM M VERWEST |
NPI Number: | 1013981620 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | 12089 |
Business Practice Address: | 9371 Cypress Lake Dr Suite7 Fort Myers, FL - 339194939 |
Business Phone Number: | 2394822722 |
Business Fax Number: | 2394827877 |
Mailing Address: | 9371 Cypress Lake Dr, Suite7 FORT MYERS |
State: | FL |
Postal Code: | 339194939 |
Phone Number: | 2394822722 |
Fax Number: | 2394827877 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 12089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |