PATRICIA PRIMERO D.D.S. P.A. NPI 1104908565

NPI Information

  • NPI: 1104908565
  • Provider Name: PATRICIA PRIMERO D.D.S., P.A.
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Doing Business As: THE SMILE FAIRY DENTAL SPA
  • Address: 9010 STRADA STELL CT
    SUITE 101
    NAPLES, FL
    ZIP 34109
  • Phone: (239) 254-4480

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NPI Details

PATRICIA PRIMERO D.D.S., P.A. is a preferred provider organization in Naples, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PATRICIA PRIMERO D.D.S., P.A. NPI is 1104908565. The provider is registered as an organization entity type.
The provider Is Doing Business As The Smile Fairy Dental Spa.

The provider's business location address is:

9010 STRADA STELL CT
SUITE 101
NAPLES, FL
ZIP 34109-424
Phone: (239) 254-4480
Fax: (239) 254-8575

The provider's authorized official is Patricia Primero .
The authorized official title is President and has the following contact phone number (239) 254-4480.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationDN 12193FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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