# GULFSHORE ORAL SURGERY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013354174
- **Authorized official:** DR. STEVEN JOHN FONTANA DDS, MD (PRESIDENT)
- **Authorized official phone:** (239) 262-3300

## Contact information

- **Practice address:** 1585 PINE RIDGE RD STE 2, NAPLES, FL 34109-2105
- **Practice address phone:** (239) 262-3300
- **Practice address fax:** (239) 262-3333
- **Mailing address:** 1585 PINE RIDGE RD STE 2, NAPLES, FL 34109-2105
- **Mailing address phone:** (239) 262-3300
- **Mailing address fax:** (239) 262-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 10/25/2013