Bonita Dental Care, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN15395 Issued in FL

Legal business name

BONITA DENTAL CARE, PA

Practice address

8951 Bonita Beach Rd SE
Suite 206
Bonita Springs, FL 34135-4201

Phone

(239) 992-8555

Fax

(239) 992-8644

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Joseph Eck, DDS

Title

Owner

Phone

(239) 777-8664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1508101726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE",
            "address_2": "SUITE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354201",
            "telephone_number": "239-992-8555",
            "fax_number": "239-992-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE",
            "address_2": "SUITE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354201",
            "telephone_number": "239-992-8555",
            "fax_number": "239-992-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "ECK",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-777-8664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.