SHADAE PERSON, DDS

Dentist

Active Individual
NPI: 1326578865

Practice Address

18070 S TAMIAMI TRL STE 14
Fort Myers, FL 33908

Phone: (239) 288-7275

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 0401415686 (VA)
Dentist 122300000X Yes 0401415686 (VA)

Frequently Asked Questions

NPI 1326578865 is the National Provider Identifier for SHADAE PERSON, DDS, a Dentist provider located in Fort Myers, FL. This NPI was enumerated on June 18, 2017.
SHADAE PERSON, DDS practices at 18070 S TAMIAMI TRL STE 14, Fort Myers, FL 33908.

Quick Facts

NPI
1326578865
Type
Individual
Enumerated
Jun 18, 2017
Last Updated
Sep 30, 2021

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