FORT MYERS MODERN DENTISTRY, PA
NPI 1245088319
Dentist - General Practice in Fort Myers, FL

Active since May 13, 2024
3330 FORUM BLVD, FORT MYERS, FL 33905(239) 241-9128 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2024, May 13, 2024 (2 updates tracked since 2024).

About Fort Myers Modern Dentistry, Pa NPPES

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

FORT MYERS MODERN DENTISTRY, PA (NPI 1245088319) is a healthcare organization registered as a general practice in Fort Myers, Florida and active in the NPI registry since May 2024. The organization lists Kelsey Archer, Owner, as its authorized official.

NPPES Registry Identity

NPI1245088319
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORT MYERS MODERN DENTISTRY, PA
Location Address3330 FORUM BLVDFort Myers, FL 33905-5578
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Organization SubpartNo
Authorized OfficialKelsey ArcherOwner · (714) 845-8500
Enumeration DateMay 13, 2024
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1245088319 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.
3330 FORUM BLVD, Fort Myers, FL 33905

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
3330 FORUM BLVD
FORT MYERS, FL 33905

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 Fort Myers Modern Dentistry, PA's NPI number?

The NPI number for Fort Myers Modern Dentistry, PA is 1245088319. It was assigned to this organization in the NPPES registry on May 13, 2024.

Where is Fort Myers Modern Dentistry, PA located?

Fort Myers Modern Dentistry, PA is located at 3330 Forum Blvd, Fort Myers, FL 33905. The listed phone number is (239) 241-9128.

What is Fort Myers Modern Dentistry, PA's specialty?

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

What insurance does Fort Myers Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Fort Myers Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Myers Modern Dentistry, PA was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.