Patricia Primero D.D.S., P.a.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN 12193 Issued in FL

Legal business name

PATRICIA PRIMERO D.D.S., P.A.

Practice address

9010 Strada Stell CT
Suite 101
Naples, FL 34109-4424

Phone

(239) 254-4480

Fax

(239) 254-8575

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Primero, D.D.S., P.A.NPI 1811079254

Title

President

Phone

(239) 254-4480

Specialties & licenses 1

Addresses

Other names 1

• The Smile Fairy Dental Spa Doing business as

Practitioners 1

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

• Patricia Primero, D.D.S P.A

  • General Practice Dentistry
  • Naples, FL
  • NPI 1811079254
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104908565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 STRADA STELL CT",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094424",
            "telephone_number": "239-254-4480",
            "fax_number": "239-254-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 STRADA STELL CT",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094424",
            "telephone_number": "239-254-4480",
            "fax_number": "239-254-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA PRIMERO D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIMERO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-254-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN 12193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Fairy Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vishal P Patel, D.O.
• Vivek Patel, PT, DPT
• Patient Transport of Naples Inc
• Cristhian David Patino, RN
• Patrice C Case M D PA
• Patrick D Layton Jr DC PLLC
• Patrick M Kane MD PA
• Angela Faith Patterson
• Diana Lynn Patterson, COTA
• Jay Kevin Patterson, APRN

• Preferred Provider Organization in Naples, FL
• Providers in Naples, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.