LABAN BONTRAGER DMD
NPI 1336260322
Dentist - General Practice in Bristol, FL

Q: What is Laban Bontrager's NPI number?

The NPI number for Laban Bontrager is 1336260322. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Laban Bontrager's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laban Bontrager was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 03, 2007

12761 NE PEA RIDGE RD, BRISTOL, FL 32321(850) 643-5417(850) 643-5728 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Laban Bontrager Dmd NPPES

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

LABAN BONTRAGER DMD (NPI 1336260322) is an individual general practice provider in Bristol, Florida, licensed in Florida (DN8007) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1336260322

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameLABAN BONTRAGERCredential: DMD

Location Address12761 NE PEA RIDGE RDBristol, FL 32321

Mailing Address12761 Ne Pea Ridge RdBristol, FL 32321 · (850) 643-5417 · Fax (850) 643-5728

Phone(850) 643-5417

Fax(850) 643-5728

Sole ProprietorYes

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336260322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN8007

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.

12761 NE PEA RIDGE RD, Bristol, FL 32321

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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 Laban Bontrager's NPI number?

The NPI number for Laban Bontrager is 1336260322. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Laban Bontrager located?

Laban Bontrager practices at 12761 NE Pea Ridge Rd, Bristol, FL 32321. The listed phone number is (850) 643-5417.

What is Laban Bontrager'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 Laban Bontrager was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.