Estero Bay Dental, PLLC
NPI 1174450548ActiveOrganization· Dentist, General Practice· Estero, FL
Dentist, General Practice in Estero, Florida, registered in NPPES in May 2026. The authorized official on file is Tammie Stephens, Credentialing Manager.
Overview
| NPI | 1174450548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2026 |
| Last updated in NPPES | May 7, 2026 |
| Certified by provider | May 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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