Individual
DR. TIA SHEA SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9921 CORKSCREW ROAD, ESTERO, FL 33928-3210
(239) 301-4278
Mailing address
9921 CORKSCREW ROAD, ESTERO, FL 33928
(239) 301-4278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN17564
FL
1223P0221X
Pediatric Dentistry
Primary
DN17564
FL
Other
Enumeration date
07/19/2007
Last updated
08/06/2015
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