Bradley P Dilling, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRADLEY P DILLING, DMD, PA

Practice address

16400 Healthpark Commons Dr.
Fort Myers, FL 33908

Phone

(239) 454-1150

Fax

(239) 454-6399

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Bradley P Dilling, DMD, PANPI 1033371653

Title

President/Dentist

Phone

(239) 839-7403

Specialties & licenses 1

Addresses

Other names 1

• Avalon Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Dilling, DMD

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1033371653
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1245047448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 HEALTHPARK COMMONS DR.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-454-1150",
            "fax_number": "239-454-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 HEALTHPARK COMMONS DR.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-454-1150",
            "fax_number": "239-454-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY P DILLING, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "DILLING",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "239-839-7403",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly A Braden, PT
• Bradford J. Yaeger, P.a.
• Cynthia Theresa Bradford, APRN
• Bradley M. Woodham, D.M.D., P.a.
• Bradley P Dilling, DMD, PA
• Dawn Bradley, ARNP
• Erin Bradley, DOT
• Jimmie Braxton Bradley, D.C.
• Nina Grace Bradley, D.O.
• Scott Allan Bradley Jr., PT, DPT

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.