Organization · Type 2 NPI
Picasso Aesthetic and Cosmetic Dental Spa PA
Oral and Maxillofacial Surgery (Dentist) · Fort Myers, FL
Practice location
3660 Central Ave Ste 14
Fort Myers, FL 33901-8258
Fax (239) 320-3288
Mailing address
20843 Thistle Leaf Ln
Estero, FL 33928-4082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | DN12852 (FL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Fort Myers
About NPI 1205182276
Picasso Aesthetic and Cosmetic Dental Spa PA's National Provider Identifier is 1205182276, issued on Jul 27, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 5, 2026.