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MODERN DENTAL CAPE CORAL PLLC
NPI 1437785847
Dentist - General Practice in Cape Coral, FL

Active since March 17, 2020
706 SW PINE ISLAND RD, SUITE 103, CAPE CORAL, FL 33991(941) 610-6200 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Dental Cape Coral Pllc NPPES

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

MODERN DENTAL CAPE CORAL PLLC (NPI 1437785847) is a healthcare organization registered as a general practice in Cape Coral, Florida and active in the NPI registry since March 2020. The organization lists Tyler M Blackenburg, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1437785847
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL CAPE CORAL PLLC
Location Address706 SW PINE ISLAND RD, SUITE 103Cape Coral, FL 33991
Mailing Address14575 Tamiami Trl Ste ANorth Port, FL 34287-2743 · (941) 888-2362
Phone(941) 610-6200
Organization SubpartYesParent: Modern Dental, Llc
Authorized OfficialTyler M BlackenburgPeriodontist · (954) 736-7924
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1437785847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
706 SW PINE ISLAND RD, Cape Coral, FL 33991
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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

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 Modern Dental Cape Coral PLLC's NPI number?

The NPI number for Modern Dental Cape Coral PLLC is 1437785847. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Modern Dental Cape Coral PLLC located?

Modern Dental Cape Coral PLLC is located at 706 SW Pine Island Rd Suite 103, Cape Coral, FL 33991. The listed phone number is (941) 610-6200.

What is Modern Dental Cape Coral PLLC'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 Modern Dental Cape Coral PLLC was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.