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

Homestead Modern Dentistry, PA

Organization Dentist · NPI 1235777855

Homestead Modern Dentistry, PA is a Dentist in Homestead, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

805 N Homestead Blvd
Homestead, FL 33030-5024
Phone: (786) 410-6656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1235777855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Bustillo — Owner · (786) 410-6656
Other names Homestead Modern Dentistry; Homestead Modern Dentistry
NPI enumeratedDecember 13, 2019
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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