DA COSTA DENTAL PLLC NPI 1891587002

NPI Information

  • NPI: 1891587002
  • Provider Name: DA COSTA DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 14120 PALM BEACH BLVD
    FORT MYERS, FL
    ZIP 33905
  • Phone: (239) 789-2830

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NPI Details

DA COSTA DENTAL PLLC is a dental clinic center in Fort Myers, FL. DA COSTA DENTAL PLLC NPI is 1891587002. The provider is registered as an organization entity type.

The provider's business location address is:

14120 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905-244
Phone: (239) 789-2830
Fax: (239) 789-2830

The provider's authorized official is Jordan Dean Da Costa .
The authorized official title is Owner and has the following contact phone number (954) 536-3058.

The enumeration date for this NPI number is 5/22/2025 and was last updated on 5/22/2025.

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
1261QD0000XClinic/CenterDentalYes

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

NPI Synchronization or Removal

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