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

Picasso Aesthetic and Cosmetic Dental Spa PA

Organization General Practice Dentistry · NPI 1205182276

Picasso Aesthetic and Cosmetic Dental Spa PA provides General Practice Dentistry in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

3660 Central Ave Ste 14
Fort Myers, FL 33901-8258
Phone: (239) 401-2799
Fax: (239) 320-3288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
General Practice Dentistry Taxonomy 1223G0001X · Licence DN12852 (FL)

Record details

NPI number1205182276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rubin — President · (239) 370-3343
NPI enumeratedJuly 27, 2012
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address20843 Thistle Leaf Ln, Estero, FL 33928-4082

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