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GULFSHORE PEDIATRIC DENTISTRY, P.A.
NPI 1982082335
Dentist - Pediatric Dentistry in Estero, FL

Active since May 18, 2015
9921 CORKSCREW RD, ESTERO, FL 33928(239) 776-2115 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulfshore Pediatric Dentistry, P.a. NPPES

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

GULFSHORE PEDIATRIC DENTISTRY, P.A. (NPI 1982082335) is a healthcare organization registered as a pediatric dentistry in Estero, Florida and active in the NPI registry since May 2015. The organization lists Tia Shea Sammons, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1982082335
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGULFSHORE PEDIATRIC DENTISTRY, P.A.
Location Address9921 CORKSCREW RDEstero, FL 33928
Mailing Address9921 Corkscrew RdEstero, FL 33928 · (239) 776-2115
Phone(239) 776-2115
Organization SubpartNo
Authorized OfficialTia Shea SammonsPediatric Dentist · (239) 776-2115
Enumeration DateMay 18, 2015
✔ NPI 1982082335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN17564
Definition
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.
9921 CORKSCREW RD, Estero, FL 33928
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Other Identifiers 2

Medicaid002138100FL
Medicaid076870700FL

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 MULTIPLE 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.

DR. TASNOVA AHMAD DMD
Dentist (Pediatric Dentistry)
9921 CORKSCREW RD
ESTERO, FL 33928
Lee County (352) 275-8133

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 Gulfshore Pediatric Dentistry, P.A.'s NPI number?

The NPI number for Gulfshore Pediatric Dentistry, P.A. is 1982082335. It was assigned to this organization in the NPPES registry on May 18, 2015.

Where is Gulfshore Pediatric Dentistry, P.A. located?

Gulfshore Pediatric Dentistry, P.A. is located at 9921 Corkscrew Rd, Estero, FL 33928. The listed phone number is (239) 776-2115.

What is Gulfshore Pediatric Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gulfshore Pediatric Dentistry, P.A. was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.