Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396926150 Individual Practitioner Male Practitioner

Dr. Alberto Edinson Bolanos , DDS

Dentist - General Practice • Naples, FL

Professional Overview & Biography Verified Profile Summary

Dr. Alberto Bolanos, DDS is a registered healthcare professional specializing in Dentist - General Practice in Naples, FL. Practice services are available at 4060 PINE RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4060 Pine Ridge Rd

Naples, FL 341194011

Telephone 2393041974
Fax 2393041974
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Naples, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
132 Specialists

Practicing in Naples, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 18041

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 053453-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02908818 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 11, 2019

Registered at 4060 PINE RIDGE RD, NAPLES, FL 341194011 (Tel: 2393041974)

📍
Updated Business Mailing Address June 11, 2019

Registered at 4060 PINE RIDGE RD, NAPLES, FL 341194011 (Tel: 2393041974)

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2017

Registered at 12975 COLLIER BLVD, SUITE 302, NAPLES, FL 341164004 (Tel: 2393041974)

📍
Updated Business Mailing Address March 21, 2017

Registered at 12975 COLLIER BLVD, SUITE 302, NAPLES, FL 341164004 (Tel: 2393041974)

👤
Provider Name / Credentials Updated March 21, 2017

Recorded as ALBERTO BOLANOS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Dentist (License #053453-1 in NY)

NPI Profile Active April 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2009

Registered at 26831 S TAMIAMI TRL, SUITE 48, BONITA SPRINGS, FL 341347823 (Tel: 2399483200)

📍
Updated Business Mailing Address April 01, 2009

Registered at 26831 S TAMIAMI TRL, SUITE 48, BONITA SPRINGS, FL 341347823 (Tel: 2399483200)

👤
Provider Name / Credentials Updated April 01, 2009

Recorded as ALBERTO BOLANOS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2009

Dentist (License #18041 in FL)

🟢
Initial NPI Registration & Enumeration November 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396926150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2007
Last Update: June 11, 2019
Sole Proprietor: Yes

Mailing Address

4060 Pine Ridge Rd

Naples, FL 341194011

Phone: 2393041974

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.