Organization Active NPI

Pelican Landing Dental PLLC

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1730488222
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PELICAN LANDING DENTAL PLLC
Practice address
23451 Walden Center Dr
Suite 100
Bonita Springs, FL 34134-4919
Phone
(239) 948-2111
Fax
(239) 948-2155
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Dr. Rich Gilbert
Title
Owner/Doctor
Phone
(239) 948-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

23451 Walden Center Dr
Suite 100
Bonita Springs, FL 34134-4919

Mailing address

23451 Walden Center Dr
Suite 100
Bonita Springs, FL 34134-4919
Phone (239) 948-2111

National Provider Directory

National Provider Directory

Locations

23451 Walden Center Dr
Ste 100
Estero, FL 34134
Phone (239) 948-2111

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1730488222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 WALDEN CENTER DR",
            "address_2": "SUITE 100",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344919",
            "telephone_number": "239-948-2111",
            "fax_number": "239-948-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 WALDEN CENTER DR",
            "address_2": "SUITE 100",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344919",
            "telephone_number": "239-948-2111",
            "fax_number": "239-948-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN LANDING DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "239-948-2111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.