Predrag Dordevic
Dentist, General Practice in Estero, FL. Individual provider (NPI-1).
NPI number1972008183
StatusActive
Last updated in NPPESJun 16, 2026
Details
- NPI
- 1972008183
- Entity type
- Individual (NPI-1)
- Name
- Predrag Dordevic
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2018
- Certification date
- Jun 16, 2026
- Last updated
- Jun 16, 2026
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 | DN25128 | FL | Yes |
Practice location
23250 Via VillagioEstero, FL 33928-8353
Phone 239-908-0486
Mailing address
23250 Via VillagioEstero, FL 33928-8353
Phone 239-908-0486
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