Organization
EAGLE CREEK DENTISTRY, INC.
Active
Other names
Valentine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGHAN DANIELLE VALENTINE (OFFICE MANAGER)
(239) 398-4410
Entity
Organization
Contact information
Practice address
12692 TAMIAMI TRL E, NAPLES, FL 34113-8431
(239) 417-6453
(239) 775-6628
Mailing address
12692 TAMIAMI TRL E, NAPLES, FL 34113-8431
(239) 417-6453
(239) 775-6628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/02/2007
Last updated
04/10/2023
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