| Coastal Smiles | |
|
21301 S Tamiami Trl Ste 350 Estero FL 33928-2944 | |
| (239) 948-1990 | |
| Not Available |
| Full Name | Coastal Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21301 S Tamiami Trl Ste 350, Estero, Florida |
| Authorized Official Name and Position | Tyler Frey (AUTHORIZED MEMBER) |
| Authorized Official Contact | 8108459695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Smiles 21301 S Tamiami Trl Ste 350 Estero FL 33928-2944 Ph: (239) 948-1990 | Coastal Smiles 21301 S Tamiami Trl Ste 350 Estero FL 33928-2944 Ph: (239) 948-1990 |
| NPI Number | 1447976857 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447976857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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