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ESTERO BAY DENTAL, PLLC
NPI 1174450548
Dentist - General Practice in Estero, FL

Active since May 07, 2026
21740 S TAMIAMI TRL STE 111, ESTERO, FL 33928(239) 949-8282 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Estero Bay Dental, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTERO BAY DENTAL, PLLC (NPI 1174450548) is a healthcare organization registered as a general practice in Estero, Florida and active in the NPI registry since May 2026. The organization lists Tammie Stephens, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1174450548
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameESTERO BAY DENTAL, PLLC
Location Address21740 S TAMIAMI TRL STE 111Estero, FL 33928-2819
Mailing Address3448 Cleveland AveFort Myers, FL 33901-7108 · (239) 936-3436
Phone(239) 949-8282
Organization SubpartNo
Authorized OfficialTammie StephensCredentialing Manager · (239) 936-3436
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1174450548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
21740 S TAMIAMI TRL STE 111, Estero, FL 33928
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Estero Bay Dental, PLLC's NPI number?

The NPI number for Estero Bay Dental, PLLC is 1174450548. It was assigned to this organization in the NPPES registry on May 7, 2026.

Where is Estero Bay Dental, PLLC located?

Estero Bay Dental, PLLC is located at 21740 S Tamiami Trl Ste 111, Estero, FL 33928. The listed phone number is (239) 949-8282.

What is Estero Bay Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Estero Bay Dental, PLLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.