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General NPI Number Information
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NPI Number | 1891587002
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Entity Type | Organization
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Legal Business Name | DA COSTA DENTAL PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 14120 PALM BEACH BLVD
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City | FORT MYERS
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State | FL
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Zip | 33905-2244
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Country | US
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Telephone | 239-789-2830
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Fax | 239-789-2830
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Provider Business Mailing Address
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Address Line | 14120 PALM BEACH BLVD
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City | FORT MYERS
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State | FL
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Zip | 33905-2244
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Country | US
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Telephone | 239-789-2830
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Fax | 239-789-2830
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORDAN DEAN DA COSTA
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Credential | DMD
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Telephone | 954-536-3058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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