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PEDIATRIC DENTISTRY OF BONITA NPI 1194157453


NPI Information

NPI: 1194157453
Provider Name: PEDIATRIC DENTISTRY OF BONITA
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
9510 BONITA BEACH RD SE
SUITE 101
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 333-2990
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PEDIATRIC DENTISTRY OF BONITA is a pediatric dentistry dentist in Bonita Springs, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTISTRY OF BONITA NPI is 1194157453. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9510 BONITA BEACH RD SE
SUITE 101
BONITA SPRINGS, FL
ZIP 34135-699
Phone: (239) 333-2990

The provider's authorized official is Miguel A Argumosa .
The authorized official title is Pediatric Dentist/member and has the following contact phone number (239) 333-2990.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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