OrganizationActive
Olean Dental Studio PLLC
NPI 1629729504 · Dental Clinic/Center · Port Charlotte, FL
Provider details
- NPI number
- 1629729504
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alberto Lopez De Castro Bolufer, Owner(786) 718-5655
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21202 Olean Blvd Ste E2
Port Charlotte, FL 33952-6723
Phone: (941) 629-3200
Fax: (941) 629-2113
Street-level locationGet directions
Mailing address
21202 Olean Blvd Ste E2
Port Charlotte, FL 33952-6723
Registry dates
- Enumerated
- 2022-01-12
- Last updated
- 2022-01-12
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.