Estero Smiles Dentistry, PA
Dentist, General Practice in Estero, FL. Organization (NPI-2).
NPI number1831782937
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1831782937
- Entity type
- Organization (NPI-2)
- Legal business name
- Estero Smiles Dentistry, PA
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 1, 2021
- Last updated
- Feb 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Estero Smiles Dentistry (Doing Business As)
Practice location
19521 Highland Oaks DriveSuite 301
Estero, FL 33928
Phone 239-244-8853 · Fax 239-244-1230
Mailing address
17000 Red Hill AveIrvine, CA 92614-5626
Phone 714-845-8890 · Fax 303-952-0892
Authorized official
Minh B Pham
Owner
2392448853
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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