Da Costa Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DA COSTA DENTAL PLLC

Practice address

14120 Palm Beach Blvd
Fort Myers, FL 33905-2244

Phone

(239) 789-2830

Fax

(239) 789-2830

NPI assigned

May 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Dean Da Costa, DMDNPI 1922747377

Title

Owner

Phone

(954) 536-3058

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jordan Dean Da Costa, DMD

  • Dentist
  • Fort Myers, FL
  • NPI 1922747377
  NPD Authorized official

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1891587002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052244",
            "telephone_number": "239-789-2830",
            "fax_number": "239-789-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052244",
            "telephone_number": "239-789-2830",
            "fax_number": "239-789-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA COSTA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "DA COSTA",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-536-3058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D'Antonio
• Dennis D'Augusta, CRNA
• Melwyn S D'Souza, MD
• Raynita C D'Souza, MD
• Kenneth D'Vicente, RBT
• Jordan Dean Da Costa, DMD
• Ambar Stephanie Da Cunha, PTA
• Catherine Daboin
• Andrew Dacosta, PSY.D.
• Marc Dadkhah, DMD

• Dental Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.