| Foundation Dental Center, Pllc | |
|
26811 S Bay Dr Ste 200 Bonita Springs FL 34134-4356 | |
| (239) 946-1881 | |
| Not Available |
| Full Name | Foundation Dental Center, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 26811 S Bay Dr Ste 200, Bonita Springs, Florida |
| Authorized Official Name and Position | John Pasicznyk (OWNER) |
| Authorized Official Contact | 2399461881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Dental Center, Pllc 26811 S Bay Dr Ste 200 Bonita Springs FL 34134-4356 Ph: (239) 946-1881 | Foundation Dental Center, Pllc 26811 S Bay Dr Ste 200 Bonita Springs FL 34134-4356 Ph: (239) 946-1881 |
| NPI Number | 1114851797 |
|---|---|
| Provider Enumeration Date | 06/10/2026 |
| Last Update Date | 06/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114851797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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