Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053620609 Individual Practitioner Male Practitioner

Dr. Ali Etessam , DDS

Dentist - General Practice • Naples, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ali Etessam, DDS is a registered healthcare professional specializing in Dentist - General Practice in Naples, FL. Practice services are available at 1575 PINE RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1575 Pine Ridge Rd
Suite 18

Naples, FL 341092107

Telephone 2395661940

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Naples, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
132 Specialists

Practicing in Naples, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14988

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Corportion Npi Is 1427279827
1427279827 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1003965732

Master of Science in Physical Therapy

Sharon Lauster

Physician Assistant - Surgical

NPI 1174497697
Stephen Durand , APRN

Nurse Anesthetist, Certified Registered

NPI 1265584411

Advanced Practice Registered Nurse

NPI 1568503415

Doctor of Medicine (M.D.)

Amy Mackenzie , RDN

Dietitian, Registered

NPI 1588014096

Registered Dietitian Nutritionist

Thomas Sokol , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1639203581

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2010

Registered at 1575 PINE RIDGE RD, SUITE 18, NAPLES, FL 341092107 (Tel: 2395661940)

📍
Updated Business Mailing Address September 30, 2010

Registered at 1575 PINE RIDGE RD., SUITE 18, NAPLES, FL 34109 (Tel: 2395661940)

👤
Provider Name / Credentials Updated September 30, 2010

Recorded as ALI ETESSAM, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2010

Dentist (License #DN14988 in FL)

🟢
Initial NPI Registration & Enumeration September 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053620609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2010
Last Update: September 30, 2010
Sole Proprietor: No

Mailing Address

1575 Pine Ridge Rd., Suite 18

Naples, FL 34109

Phone: 2395661940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.