Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Picasso Aesthetic and Cosmetic Dental Spa PA

Organization General Practice Dentistry · NPI 1205182276

Picasso Aesthetic and Cosmetic Dental Spa PA is a General Practice Dentistry in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3660 Central Ave Ste 14
Fort Myers, FL 33901-8258
Phone: (239) 401-2799
Fax: (239) 320-3288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
General Practice Dentistry Taxonomy 1223G0001X · Licence DN12852 (FL)

Record details

NPI number1205182276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rubin — President · (239) 370-3343
NPI enumeratedJuly 27, 2012
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address20843 Thistle Leaf Ln, Estero, FL 33928-4082

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