Organization Active NPI

Jeffrey Bourne DDS PLLC

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1861348013
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY BOURNE DDS PLLC
Practice address
15271 McGregor Blvd Ste 21
Fort Myers, FL 33908-1903
Phone
(303) 549-3319
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Jeffrey Bourne, DDSNPI 1912908153
Title
President/Owner
Phone
(303) 549-3319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15271 McGregor Blvd Ste 21
Fort Myers, FL 33908-1903

Mailing address

15271 McGregor Blvd Ste 21
Fort Myers, FL 33908-1903
Phone (303) 549-3319

National Provider Directory

National Provider Directory

Locations

15271 McGregor Blvd
Ste 21
Fort Myers, FL 33908
Phone (239) 590-9919

Practitioners & affiliated clinicians

Practitioners 1

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": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1861348013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15271 MCGREGOR BLVD STE 21",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081903",
            "telephone_number": "303-549-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15271 MCGREGOR BLVD STE 21",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081903",
            "telephone_number": "303-549-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY BOURNE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-549-3319",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.