NPI 1801469341 · live from the CMS NPI Registry
Juan Acosta, DMD
Dentist in Fort Myers, FL. National Provider Identifier 1801469341, active.
NPI record
| NPI | 1801469341 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 13720 N Cleveland Ave Ste A, Fort Myers, FL 33903 |
| Practice phone | 239-995-6200 |
| Enumerated | July 22, 2021 |
| Last updated | July 22, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DN26017 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.