Modern Dental Smiles of Wellington PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL SMILES OF WELLINGTON PA

Practice address

13860 Wellington Trce Ste 14
Wellington, FL 33414-8590

Phone

(561) 791-4440

NPI assigned

Mar 19, 2026

Organization subpart

No

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

Authorized official

Name

Kurt O Bally, DMDNPI 1497870034

Title

Owner Dentist

Phone

(954) 806-6229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kurt Bally, D.M.D

  • General Practice Dentistry
  • Jupiter, FL
  • NPI 1497870034
  NPD Authorized official

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1922956572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13860 WELLINGTON TRCE STE 14",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148590",
            "telephone_number": "561-791-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13860 WELLINGTON TRCE STE 14",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148590",
            "telephone_number": "561-791-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL SMILES OF WELLINGTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BALLY",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-806-6229",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ellen Mita, LCSW
• Crusita S Mitchell, RPH
• Erica Gasho Mitchell, FNP
• Leanne Mitchell, DIPL. L.AC, LMT, ES
• Sarah Elizabeth Mitchell, D.O.
• Vikram Mohip, DMD
• Sarah Mohler, PTA
• Christopher Monteagudo
• Heikel Montejo Lauzurique
• Angela Lynn Montella, LMT

• General Practice Dentistry in Wellington, FL
• Providers in Wellington, 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 Mar 19, 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.