Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366978082 Individual Practitioner Male Practitioner

Dr. Bradly James Mouritsen , DMD

Dentist • Naples, FL

Professional Overview & Biography Verified Profile Summary

Dr. Bradly Mouritsen, DMD is a registered healthcare professional specializing in Dentist in Naples, FL. Practice services are available at 3467 PINE RIDGE RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3467 Pine Ridge Rd Ste 101

Naples, FL 341093832

Telephone 2392515045
Associated Practice Facility / Clinic
🏢 King Benjamin Dental Pllc Facility NPI 1366262701

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Naples, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
117 Specialists

Practicing in Naples, FL (6414 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

CMS Verified: 2024-10-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN25384

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License SD D1172

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License UT 10341065-9922

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

7555 S Center View Ct, Suite 201

West Jordan, UT 840841925

Phone: 8015620115

107 W 3rd St

Miller, SD 573621324

Phone: 6058533264

26831 S Tamiami Trl Unit 48

Bonita Springs, FL 341347828

Phone: 2399483200

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location October 05, 2024

Registered at 3467 PINE RIDGE RD STE 101, NAPLES, FL 341093832 (Tel: 2392515045)

📍
Updated Business Mailing Address October 05, 2024

Registered at 3467 PINE RIDGE RD STE 101, NAPLES, FL 341093832 (Tel: 2392515045)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2024

Dentist (License #D1172 in SD)

📍
Updated Practice Location August 20, 2020

Registered at 26831 S TAMIAMI TRL UNIT 48, BONITA SPRINGS, FL 341347828 (Tel: 2399483200)

👤
Provider Name / Credentials Updated August 20, 2020

Recorded as BRADLY MOURITSEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2020

Dentist (License #DN25384 in FL)

📍
Updated Practice Location April 18, 2018

Registered at 107 W 3RD ST, MILLER, SD 573621324 (Tel: 6058533264)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Dentist (License #D1172 in SD)

NPI Profile Active May 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2017

Registered at 7555 S CENTER VIEW CT, SUITE 201, WEST JORDAN, UT 840841925 (Tel: 8015620115)

📍
Updated Business Mailing Address May 02, 2017

Registered at 7555 S CENTER VIEW CT, SUITE 201, WEST JORDAN, UT 840841925 (Tel: 8015620115)

👤
Provider Name / Credentials Updated May 02, 2017

Recorded as BRADLY MOURITSEN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2017

Dentist (License #10341065-9922 in UT)

🟢
Initial NPI Registration & Enumeration May 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Bradly Mouritsen. Be the first to share your experience!

Sign in to leave a review for Dr. Bradly Mouritsen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366978082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2017
Last Update: October 05, 2024
Sole Proprietor: No

Mailing Address

3467 Pine Ridge Rd Ste 101

Naples, FL 341093832

Phone: 2392515045

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.