IndividualActive
Christina Chen
NPI 1053195487 · Periodontics · Fort Myers, FL
Provider details
- NPI number
- 1053195487
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28226 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1565 Matthew Dr Ste 1
Fort Myers, FL 33907-1734
Phone: (239) 275-7907
Approximate (ZIP-level) locationGet directions
Mailing address
14031 W Hyde Park Dr Apt 201
Fort Myers, FL 33912-0210
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.