Gulfshore Pediatric Dentistry, P.a. is a Pediatric Dental Clinic in Estero, Florida. It is located at 9921 Corkscrew Rd, Estero, FL and its contact number is 239-776-2115. The authorized person for Gulfshore Pediatric Dentistry, P.a. is Dr. Tia Shea Sammons
who is Pediatric Dentist of the clinic and their contact number is 239-776-2115. The primary license number for Gulfshore Pediatric Dentistry, P.a. is DN17564 (Pediatric Dentistry) in Florida.
Gulfshore Pediatric Dentistry, P.a. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Gulfshore Pediatric Dentistry, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Gulfshore Pediatric Dentistry, P.a. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 9921 Corkscrew Rd, Estero,
Florida, 33928 |
| Phone: | 239-776-2115 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Tia Shea Sammons |
| Position: | Pediatric Dentist |
| Contact Number: | 239-776-2115 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gulfshore Pediatric Dentistry, P.a. clinic are as mentioned below.
| NPI Number: | 1982082335 |
| NPI Enumeration Date: | 18 May, 2015 |
| NPI Last Update On: | 18 May, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gulfshore Pediatric Dentistry, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN17564 | Florida | Primary | |
| Pediatric Dentistry | | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 002138100 | Medicaid | Florida | |
| 076870700 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Gulfshore Pediatric Dentistry, P.a.
9921 Corkscrew Rd,
Estero, Florida |
| Zip: | 33928 |
| Phone Number: | 239-776-2115 |
Patients can reach Gulfshore Pediatric Dentistry, P.a. at
9921 Corkscrew Rd, Estero, Florida or can
call to book an appointment on 239-776-2115.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.