Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fort Myers Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1245088319

Fort Myers Modern Dentistry, PA provides General Practice Dentistry in Fort Myers, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3330 Forum Blvd
Fort Myers, FL 33905-5578
Phone: (239) 241-9128
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1245088319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Archer — Owner · (714) 845-8500
NPI enumeratedMay 13, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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