Yenia Basulto Guerrero, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN28254 Issued in FL

Practice address

6150 Diamond Centre CT Ste 2
Fort Myers, FL 33912-4367

Phone

(786) 273-8326

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1215712310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 W 42ND PL APT 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127635",
            "telephone_number": "786-273-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124367",
            "telephone_number": "786-273-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASULTO GUERRERO",
        "first_name": "YENIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Wayne Bass, D.D.S.
• Mary Ellen Bass, M.D.
• Thomas L Bass, M.D.
• Lawrence Wayne Bastberg
• Sashar Maya N Bastien, RBT
• Viola Elisabeth Batdorf, ARNP, NNP-BC
• Lindsey C Bates, PHARMD
• Alla Batikov, MD
• Anthony Scott Batill, AU.D.,CCC-A
• Shonda Lynn Batio

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.