Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gulfshore Pediatric Dentistry, PA

Organization Pediatric Dentistry · NPI 1982082335

Gulfshore Pediatric Dentistry, PA provides Pediatric Dentistry in Estero, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9921 Corkscrew Rd
Estero, FL 33928 Not confirmed with CMS for 11 years — call before visiting
Phone: (239) 776-2115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN17564 (FL)
Pediatric Dentistry Taxonomy 1223P0221X (FL)

Record details

NPI number1982082335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia Sammons — Pediatric Dentist · (239) 776-2115
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015
Mailing address9921 Corkscrew Rd, Estero, FL 33928