Individual provider · Type 1 NPI

Jordan Dean Da Costa, DMD

Dentist · Fort Myers, FL

NPI number 1922747377 Active

Practice location

6871 Daniels Pkwy Ste 100
Fort Myers, FL 33912-1510

Mailing address

17225 Losillas Cir Unit 736
Fort Myers, FL 33913-9574

Other practice locations

  • 3941 Tamiami Trl, Punta Gorda, FL 33950 · (941) 639-5224

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDN27037 (FL)

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 1922747377

Jordan Dean Da Costa, DMD's National Provider Identifier is 1922747377, issued on Jun 2, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Myers, FL. The record was last updated on May 12, 2023.