Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fort Myers Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1245088319

Fort Myers Modern Dentistry, PA is a General Practice Dentistry in Fort Myers, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3330 Forum Blvd
Fort Myers, FL 33905-5578
Phone: (239) 241-9128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1245088319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Archer — Owner · (714) 845-8500
NPI enumeratedMay 13, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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