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DA COSTA DENTAL PLLC
NPI 1891587002
Clinic/Center - Dental in Fort Myers, FL

Active since May 22, 2025
14120 PALM BEACH BLVD, FORT MYERS, FL 33905(239) 789-2830(239) 789-2830 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Da Costa Dental Pllc NPPES

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

DA COSTA DENTAL PLLC (NPI 1891587002) is a healthcare organization registered as a dental in Fort Myers, Florida and active in the NPI registry since May 2025. The organization lists Jordan Dean Da Costa, Owner, as its authorized official.

NPPES Registry Identity

NPI1891587002
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDA COSTA DENTAL PLLC
Location Address14120 PALM BEACH BLVDFort Myers, FL 33905-2244
Mailing Address14120 Palm Beach BlvdFort Myers, FL 33905-2244 · (239) 789-2830 · Fax (239) 789-2830
Phone(239) 789-2830
Fax(239) 789-2830
Organization SubpartNo
Authorized OfficialJordan Dean Da CostaOwner · (954) 536-3058
Enumeration DateMay 22, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1891587002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
14120 PALM BEACH BLVD, Fort Myers, FL 33905
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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 Da Costa Dental PLLC's NPI number?

The NPI number for Da Costa Dental PLLC is 1891587002. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is Da Costa Dental PLLC located?

Da Costa Dental PLLC is located at 14120 Palm Beach Blvd, Fort Myers, FL 33905. The listed phone number is (239) 789-2830.

What is Da Costa Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Da Costa Dental PLLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.