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

Dr. Michael John Basista, DDS

Individual provider Dentist · NPI 1780944629

Dr. Michael John Basista, DDS is a Dentist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2454 Winkler Ave
Fort Myers, FL 33901-9266
Phone: (239) 936-3866
Fax: (239) 939-5098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN6721 (FL)

Record details

NPI number1780944629
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012
Mailing address2454 Winkler Ave., Fort Myers, FL 33901-9266

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