1. Home
  2. Directory
  3. Florida
  4. Port Charlotte
  5. Dentist
  6. NPI Profile

PANTHER HOLLOW FAMILY DENTAL PA
NPI 1104491877
Dentist - General Practice in Port Charlotte, FL

Active since May 25, 2021
19240 QUESADA AVE, PORT CHARLOTTE, FL 33948(941) 743-7435 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Panther Hollow Family Dental Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANTHER HOLLOW FAMILY DENTAL PA (NPI 1104491877), doing business as Panther Hollow Dental Lodge, is a healthcare organization registered as a general practice in Port Charlotte, Florida and active in the NPI registry since May 2021. The organization lists Ashley Nicole Younkman-reynolds, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1104491877
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePANTHER HOLLOW FAMILY DENTAL PA
Location Address19240 QUESADA AVEPort Charlotte, FL 33948-3126
Mailing Address19240 Quesada AvePort Charlotte, FL 33948-3126 · (941) 661-1044
Phone(941) 743-7435
Organization SubpartNo
Authorized OfficialAshley Nicole Younkman-reynoldsOwner/dentist · (941) 661-1044
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1104491877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
19240 QUESADA AVE, Port Charlotte, FL 33948
Open in Google Maps ↗

Other Names 1

Doing Business AsPanther Hollow Dental Lodge

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH CHARLES BENDER D.M.D.
Dentist
19240 QUESADA AVE
PORT CHARLOTTE, FL 33948
Charlotte County (941) 743-7435
DR. TIMOTHY PALMER DDS
Dentist
19240 QUESADA AVE
PORT CHARLOTTE, FL 33948
Charlotte County (941) 743-7435
PANTHER HOLLOW DENTAL LODGE, PL
Dentist (General Practice)
19240 QUESADA AVE
PORT CHARLOTTE, FL 33948
Charlotte County (941) 743-7435
RICHARD GELDER DMD
Dentist (General Practice)
19240 QUESADA AVE
PORT CHARLOTTE, FL 33948
Charlotte County (941) 743-7435
DR. SAMANTA ANDISCO D.M.D.
Dentist (General Practice)
19240 QUESADA AVE
PORT CHARLOTTE, FL 33948
Charlotte County (941) 743-7435
DR. ASHLEY NICOLE YOUNKMAN-REYNOLDS D.M.D
Dentist
19240 QUESADA AVE
PORT CHARLOTTE, FL 33948
Charlotte County (941) 743-7435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panther Hollow Family Dental PA's NPI number?

The NPI number for Panther Hollow Family Dental PA is 1104491877. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is doing business as Panther Hollow Dental Lodge.

Where is Panther Hollow Family Dental PA located?

Panther Hollow Family Dental PA is located at 19240 Quesada Ave, Port Charlotte, FL 33948. The listed phone number is (941) 743-7435.

What is Panther Hollow Family Dental PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Panther Hollow Family Dental PA was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.