Organization · Type 2 NPI

Sage Dental of Estero

Dentist · Estero, FL

NPI number 1104704220 Active

Practice location

22911 Lyden Dr Ste B
Estero, FL 33928-7046

Mailing address

6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104704220

Sage Dental of Estero's National Provider Identifier is 1104704220, issued on Aug 26, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Estero, FL. The record was last updated on Aug 26, 2025.