LABAN BONTRAGER (NPI# 1336260322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336260322 |
| Entity Type | Individual |
| Full Name | LABAN BONTRAGER |
| Credential | DMD |
| Practice Address |
12761 Ne Pea Ridge Rd Bristol FL 32321 |
| Practice Telephone | 8506435417 |
| Practice Fax Number | 8506435728 |
| Mailing Telephone | 8506435417 |
| Mailing Fax Number | 8506435728 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN8007 | FL | Dental Providers |
| Street Address |
12761 NE PEA RIDGE RD |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| 1093886020 | Lynne Howell Wahlquist | Pharmacist | 11049 Nw State Rd 20, Bristol, FL 32321 | 2006-11-13 |
| Find all providers in zip 32321 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163822 | Signature Smile Dental LLC | Dentist | 1212 Veterans Hwy Ste A1, Bristol, PA 19007-2512 | 2018-11-20 |
| 1346757143 | Dental Associates of East Tennessee Pllc | Dentist | 1401 Volunteer Pkwy Ste 3, Bristol, TN 37620-6051 | 2018-01-03 |
| 1396297792 | Aaa Dental LLC | Dentist | 529 Farmington Ave, Bristol, CT 06010-3931 | 2016-11-01 |
| 1346608494 | Gentlecare Dental, LLC | Dentist | 683 Farmington Ave, Store #23, Bristol, CT 06010-3974 | 2016-02-03 |
| 1528479581 | Smiles Dental | Dentist | 87 Central St, Bristol, CT 06010-7046 | 2014-05-13 |
| 1588074025 | Bristol Family Dental, PC | Dentist | 4 Morris Ave, Bristol, CT 06010-4448 | 2014-05-06 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| 1225392855 | Christopher Carle, Dds, PC | Dentist | 1401 Volunteer Pkwy, Bristol, TN 37620-6051 | 2012-06-28 |
| 1457622136 | Vsmiledental Vaishali Suchak LLC | Dentist | 603 Veterans Hwy, Bristol, PA 19007-2504 | 2012-01-26 |
| 1932435476 | Joseph Soliman | Dentist | 1212 Veterans Hwy, A1, Bristol, PA 19007-2512 | 2009-10-18 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.