Bonita Palm Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BONITA PALM DENTAL

Practice address

9776 Bonita Beach Rd SE Ste 202a
Bonita Springs, FL 34135-4775

Phone

(239) 221-7079

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Maximus Zand, DMD

Title

Dentist

Phone

(239) 810-0821

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1235702887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9776 BONITA BEACH RD SE STE 202A",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354775",
            "telephone_number": "239-221-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 BONITA BEACH RD SE STE 202A",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354775",
            "telephone_number": "239-221-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA PALM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "ZAND",
        "authorized_official_first_name": "MAXIMUS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "239-810-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026911",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonita Endodontic Associates, PLLC
• Bonita Family Care, Inc
• Bonita Family Practice LLC
• Bonita Health & Healing Corp
• Bonita Medical Care Center,Inc
• Bonita Palm Dental
• Bonita Spring Chiropractic Associates
• Bonita Springs Chiropractic Corp
• Bonita Springs Edc Management LLC
• Bonita Springs Retirement Village, Inc.

• Dental Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.