Organization · Type 2 NPI

Bonita Beach Modern Dentistry, P.a.

General Practice Dentistry · Bonita Springs, FL

NPI number 1316843980 Active

Practice location

12856 Palm Breeze LN.,#1302
Bonita Springs, FL 34135

Call (239) 387-2447 Map

Fax (239) 382-4388

Mailing address

PO Box 660041
Dallas, TX 75266-0041

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1316843980

Bonita Beach Modern Dentistry, P.a.'s National Provider Identifier is 1316843980, issued on Oct 19, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bonita Springs, FL. The record was last updated on Oct 29, 2026.