Organization Active NPI

Sunset Harbor Dental

  • General Practice Dentistry
  • Cape Coral, FL
National Provider Identifier
1003743485
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNSET HARBOR DENTAL
Practice address
3705 Chiquita Blvd S
Cape Coral, FL 33914-5169
Phone
(239) 236-2126
NPI assigned
May 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammie Stephens
Title
Credentialing Manager
Phone
(239) 936-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3705 Chiquita Blvd S
Cape Coral, FL 33914-5169

Mailing address

3448 Cleveland Ave
Fort Myers, FL 33901-7108
Phone (239) 936-3436

National Provider Directory

National Provider Directory

Locations

3705 Chiquita Blvd S
Cape Coral, FL 33914
Phone (239) 236-2126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1003743485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017108",
            "telephone_number": "239-936-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 CHIQUITA BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145169",
            "telephone_number": "239-236-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET HARBOR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "239-936-3436"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.