The Smile Mission Fort Myers PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE SMILE MISSION FORT MYERS PLLC

Practice address

8951 Bonita Beach Rd SE Ste 210
Bonita Springs, FL 34135-4202

Phone

(786) 701-8246

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Dustin Pfundheller

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1821813858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE STE 210",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354202",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE MISSION FORT MYERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Tears, PHARM.D.
• Juan M Teodoro, DMD
• Ivan E Terrero, DDS
• Alexa Terry, RBT
• Nicholas Samuel Testa, P.T.
• The Weston Group of Florida I Inc
• Theta Medical Group, LLC
• Amie Catherine Thomas, MA, LMHC
• Janalea Kristin Thomas, PA-C
• Tamara Michelle Thomas, LMT

• 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 Nov 15, 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.