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NPI Code Detail

MEDICARE: SHREEYA DESAI DMD

MEDICARE: SHREEYA DESAI DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710822556
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHREEYA DESAI DMD
Provider Business Mailing Address
First Line : 4329 SW 5TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-7504
Country : US
Telephone Number : 239-691-1444
Fax Number :
Provider Business Practice Location Address
First Line : 19701 S TAMIAMI TRL
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4818
Country : US
Telephone Number : 239-278-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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