PICASSO AESTHETIC AND COSMETIC DENTAL SPA PA
NPI 1205182276
Dentist - Oral and Maxillofacial Surgery in Fort Myers, FL

Q: What is Picasso Aesthetic And Cosmetic Dental Spa PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since July 27, 2012

3660 CENTRAL AVE STE 14, FORT MYERS, FL 33901(239) 401-2799(239) 320-3288 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jan 4, 2023, Oct 20, 2022 (3 updates tracked since 2022).

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About Picasso Aesthetic And Cosmetic Dental Spa Pa NPPES

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

PICASSO AESTHETIC AND COSMETIC DENTAL SPA PA (NPI 1205182276) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Myers, Florida and active in the NPI registry since July 2012. The organization lists Jeffrey Rubin, President, as its authorized official.

NPPES Registry Identity

NPI1205182276

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NamePICASSO AESTHETIC AND COSMETIC DENTAL SPA PA

Location Address3660 CENTRAL AVE STE 14Fort Myers, FL 33901-8258

Mailing Address20843 Thistle Leaf LnEstero, FL 33928-4082 · (239) 401-2799 · Fax (239) 320-3288

Phone(239) 401-2799

Fax(239) 320-3288

Organization SubpartNo

Authorized OfficialJeffrey RubinPresident · (239) 370-3343

Enumeration DateJuly 27, 2012

Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1205182276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN12852 (FL)

3660 CENTRAL AVE STE 14, Fort Myers, FL 33901

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Other Identifiers 1

Medicaid070759700FL

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY E RUBIN

Dentist (Oral and Maxillofacial Surgery)

3660 CENTRAL AVE STE 14
FORT MYERS, FL 33901

Lee County (239) 370-3343

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 Picasso Aesthetic And Cosmetic Dental Spa PA's NPI number?

The NPI number for Picasso Aesthetic And Cosmetic Dental Spa PA is 1205182276. It was assigned to this organization in the NPPES registry on July 27, 2012.

Where is Picasso Aesthetic And Cosmetic Dental Spa PA located?

Picasso Aesthetic And Cosmetic Dental Spa PA is located at 3660 Central Ave Ste 14, Fort Myers, FL 33901. The listed phone number is (239) 401-2799.

What is Picasso Aesthetic And Cosmetic Dental Spa PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Picasso Aesthetic And Cosmetic Dental Spa PA was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.