Organization
ESTERO BAY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE STEPHENS (CREDENTIALING MANAGER)
(239) 936-3436
Entity
Organization
Contact information
Practice address
21740 S TAMIAMI TRL STE 111, ESTERO, FL 33928-2819
(239) 949-8282
Mailing address
3448 CLEVELAND AVE, FORT MYERS, FL 33901-7108
(239) 936-3436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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