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

Edgewater Family Dentistry PLLC

Organization Dental Clinic/Center · NPI 1093539330

Edgewater Family Dentistry PLLC is a Dental Clinic/Center in Cape Coral, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3512 Del Prado Blvd S Ste 102
Cape Coral, FL 33904-7261
Phone: (239) 540-1033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1093539330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Tomalty — Owner · (561) 633-9676
Other names Edgewater Family Dentistry
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address3512 Del Prado Blvd S Ste 102, Cape Coral, FL 33904-7261

Other providers in Cape Coral