Stephan Pietro, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN14213 Issued in FL

Practice address

201 Plaza Dr Ste 1
Lehigh Acres, FL 33936-6071

Phone

(239) 303-2400

Fax

(239) 303-2415

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Dental Practices, LLC

  dba Riverdale Dental Associates

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1891886719
  NPD (past)
• Markus Sherry DMD PA

  • Dental Clinic/Center
  • Fort Myers, FL
  • NPI 1609361096
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1194855106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 PALM BEACH BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052331",
            "telephone_number": "239-694-9993",
            "fax_number": "239-561-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PLAZA DR STE 1",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366071",
            "telephone_number": "239-303-2400",
            "fax_number": "239-303-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRO",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30015501",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Pierre
• Guerline Pierre
• Simon C Pierre
• Sylotte Pierre
• Thomas Lamar Pierson, CRNA
• Antoinette Pietroniro
• Henry Pigeon, PHARMD
• Jenny Jhor Claracay Pilapil
• Osmany Pimentel Leon
• Iliana Pimienta Martinez

• Dentist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.