Provider record
Fantasea Pediatric Dentistry
Use this page to review the CMS NPPES listing for Fantasea Pediatric Dentistry: Pediatric Dentistry, organization entity type, practice location in Naples, FL, and source checked date. Confirm details directly with the provider.
National Plan and Provider Enumeration System
Data pulled and checked
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1457874588
- Entity type
- Organization
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 1890 Sw Health Pkwy Ste 104
Naples, FL 34109-0473 - Phone
- (239) 594-1171
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How to verify this record
Use this page as a starting point, then confirm details from primary or direct sources.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223P0221X
- Specialty
- Pediatric Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026