| NPI | 1205182276 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-07-27 |
| Last Updated | 2026-03-05 |
| Authorized Official | Jeffrey Rubin President Phone: 2393703343 |
| Mailing Address | 20843 Thistle Leaf Ln Estero, FL 33928-4082 United States Phone: (239) 401-2799 | Fax: (239) 320-3288 📍 View Map |
| Primary Practice Address | 3660 Central Ave Ste 14 Fort Myers, FL 33901-8258 United States Phone: (239) 401-2799 | Fax: (239) 320-3288 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 070759700 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 1223G0001X – Dentist, General Practice | FL | DN12852 |
| Yes | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | - | - |
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About NPI 1205182276
Picasso Aesthetic And Cosmetic Dental Spa Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1205182276. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The organization is located in Fort Myers, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205182276?
NPI 1205182276 belongs to Picasso Aesthetic And Cosmetic Dental Spa Pa, a Dentist, Oral and Maxillofacial Surgery in Fort Myers, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205182276 active?
The current status of NPI 1205182276 in the NPPES registry is Active. The record was last updated on 2026-03-05.
What specialty is NPI 1205182276?
NPI 1205182276 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205182276?
You can verify NPI 1205182276 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205182276?
The primary practice address on file for NPI 1205182276 is 3660 Central Ave Ste 14, Fort Myers, FL 33901-8258. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205182276 issued?
NPI 1205182276 was first issued (enumerated) on 2012-07-27. The NPPES record was last updated on 2026-03-05.
Practice Location Map
Picasso Aesthetic And Cosmetic Dental Spa Pa is located at 3660 Central Ave Ste 14, Fort Myers, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Picasso Aesthetic And Cosmetic Dental Spa Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205182276. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | DN12852 | FL |