Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BONITA BEACH MODERN DENTISTRY, P.A.
NPI 1316843980
Dentist - General Practice in Bonita Springs, FL

Q: What is Bonita Beach Modern Dentistry, P.A.'s NPI number?

The NPI number for Bonita Beach Modern Dentistry, P.A. is 1316843980. It was assigned to this organization in the NPPES registry on October 19, 2026. The provider is doing business as Bonita Beach Modern Dentistry.

Q: What is Bonita Beach Modern Dentistry, P.A.'s specialty?

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

Active since October 19, 2026

12856 PALM BREEZE LN., UNIT 105, BONITA SPRINGS, FL 34135(239) 387-2447(239) 382-4388 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bonita Beach Modern Dentistry, P.a. NPPES

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

BONITA BEACH MODERN DENTISTRY, P.A. (NPI 1316843980), doing business as Bonita Beach Modern Dentistry, is a healthcare organization registered as a general practice in Bonita Springs, Florida and active in the NPI registry since October 2026. The organization lists Andres M Cruz, Dmd, as its authorized official.

NPPES Registry Identity

NPI1316843980

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBONITA BEACH MODERN DENTISTRY, P.A.

Location Address12856 PALM BREEZE LN., UNIT 105Bonita Springs, FL 34135

Mailing AddressPo Box 660041Dallas, TX 75266-0041 · (714) 845-8890 · Fax (303) 952-0892

Phone(239) 387-2447

Fax(239) 382-4388

Organization SubpartNo

Authorized OfficialAndres M CruzDmd · (239) 387-2447

Enumeration DateOctober 19, 2026

NPPES CertifiedOctober 15, 2026

✔ NPI 1316843980 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.

12856 PALM BREEZE LN., UNIT 105, Bonita Springs, FL 34135

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Other Names 1

Doing Business AsBonita Beach Modern Dentistry

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 Bonita Beach Modern Dentistry, P.A.'s NPI number?

The NPI number for Bonita Beach Modern Dentistry, P.A. is 1316843980. It was assigned to this organization in the NPPES registry on October 19, 2026. The provider is doing business as Bonita Beach Modern Dentistry.

Where is Bonita Beach Modern Dentistry, P.A. located?

Bonita Beach Modern Dentistry, P.A. is located at 12856 Palm Breeze Ln., Unit 105, Bonita Springs, FL 34135. The listed phone number is (239) 387-2447.

What is Bonita Beach Modern Dentistry, P.A.'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 Bonita Beach Modern Dentistry, P.A. was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.