| Dr Monica W Bontrager, DMD | |
|
12761 Nw Pea Ridge Rd, Bristol, FL 32321-3304 | |
| (850) 643-5417 | |
| (850) 643-5728 |
| Full Name | Dr Monica W Bontrager |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 12761 Nw Pea Ridge Rd, Bristol, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912143728 | NPI | - | NPPES |
| 001594800 | Medicaid | FL | |
| 001866400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18548 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Monica W Bontrager, DMD 12761 Nw Pea Ridge Rd, Bristol, FL 32321-3304 Ph: (850) 643-5417 | Dr Monica W Bontrager, DMD 12761 Nw Pea Ridge Rd, Bristol, FL 32321-3304 Ph: (850) 643-5417 |
Laban Bontrager, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12761 Ne Pea Ridge Rd, Bristol, FL 32321 Phone: 850-643-5417 Fax: 850-643-5728 | |
John David Smith, DR Dentist Medicare: Not Enrolled in Medicare Practice Location: 12832 Nw Central Ave, Bristol, FL 32424 Phone: 850-643-2415 Fax: 850-643-5689 |