Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coral Dental and Denture PA

Organization Dental Clinic/Center · NPI 1366796450

Coral Dental and Denture PA is a Dental Clinic/Center in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12711 McGregor Blvd
Fort Myers, FL 33919-4412
Phone: (239) 542-3925
Fax: (239) 210-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN 19837 (FL)

Record details

NPI number1366796450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Castellanos — President · (239) 603-5210
NPI enumeratedOctober 29, 2012
Last updated in NPPESApril 28, 2016
Mailing address12711 McGregor Blvd, Fort Myers, FL 33919-4412

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