Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Dean Da Costa, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922747377

Jordan Dean Da Costa, DMD is a Student in an Organized Health Care Education/Training Program in Fort Myers, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6871 Daniels Pkwy Ste 100
Fort Myers, FL 33912-1510
Phone: (239) 288-0537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3941 Tamiami Trl, Punta Gorda, FL 33950 — (941) 639-5224

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN27037 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922747377
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

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