Picasso Aesthetic and Cosmetic Dental Spa PA
NPI 1205182276 · Oral and Maxillofacial Surgery (Dentist) · Fort Myers, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Picasso Aesthetic and Cosmetic Dental Spa PA is a Oral and Maxillofacial Surgery (Dentist) organization in Fort Myers, FL (NPI 1205182276).
Provider details
- NPI number
- 1205182276
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Rubin, President(239) 370-3343
- License
- DN12852 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-27
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Picasso Aesthetic and Cosmetic Dental Spa PA's NPI number?
- Picasso Aesthetic and Cosmetic Dental Spa PA's National Provider Identifier (NPI) is 1205182276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Picasso Aesthetic and Cosmetic Dental Spa PA?
- Picasso Aesthetic and Cosmetic Dental Spa PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Picasso Aesthetic and Cosmetic Dental Spa PA located?
- Picasso Aesthetic and Cosmetic Dental Spa PA's practice location on file with NPPES is 3660 Central Ave Ste 14, Fort Myers, FL 33901-8258.
- What is Picasso Aesthetic and Cosmetic Dental Spa PA's phone number?
- The practice phone number listed in the NPPES registry for Picasso Aesthetic and Cosmetic Dental Spa PA is (239) 401-2799.
- Does Picasso Aesthetic and Cosmetic Dental Spa PA accept Medicare?
- Picasso Aesthetic and Cosmetic Dental Spa PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Picasso Aesthetic and Cosmetic Dental Spa PA?
- The authorized official listed on Picasso Aesthetic and Cosmetic Dental Spa PA's NPPES record is Jeffrey Rubin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Picasso Aesthetic and Cosmetic Dental Spa PA's NPI active?
- Yes — Picasso Aesthetic and Cosmetic Dental Spa PA's NPI (1205182276) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.