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

Laban Bontrager, DMD

Individual provider General Practice Dentistry · NPI 1336260322

Laban Bontrager, DMD is a General Practice Dentistry in Bristol, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

12761 NE Pea Ridge Rd
Bristol, FL 32321
Phone: (850) 643-5417
Fax: (850) 643-5728
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN8007 (FL)

Record details

NPI number1336260322
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address12761 Ne Pea Ridge Rd, Bristol, FL 32321

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