GULFSHORE PEDIATRIC DENTISTRY P.A. NPI 1982082335

NPI Information

GULFSHORE PEDIATRIC DENTISTRY, P.A. is a pediatric dentistry dentist in Estero, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GULFSHORE PEDIATRIC DENTISTRY, P.A. NPI is 1982082335. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9921 CORKSCREW RD
ESTERO, FL
ZIP 33928
Phone: (239) 776-2115

The provider's authorized official is Tia Shea Sammons .
The authorized official title is Pediatric Dentist and has the following contact phone number (239) 776-2115.

The enumeration date for this NPI number is 5/18/2015 and was last updated on 5/18/2015.

Taxonomy Codes

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