Modern Dental Cape Coral Pllc is a Periodontology Clinic in Cape Coral, Florida. This organization is also known as sub part of Modern Dental, Llc. It is located at 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL and its contact number is 941-610-6200. The authorized person for Modern Dental Cape Coral Pllc is Tyler M Blackenburg
who is Periodontist of the clinic and their contact number is 954-736-7924.
Modern Dental Cape Coral Pllc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Modern Dental Cape Coral Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Modern Dental Cape Coral Pllc |
| Specialization: | Periodontology |
| Clinic Address: | 706 Sw Pine Island Rd, Suite 103, Cape Coral, Florida, 33991 |
| Phone: | 941-610-6200 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Tyler M Blackenburg |
| Position: | Periodontist |
| Contact Number: | 954-736-7924 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Modern Dental Cape Coral Pllc clinic are as mentioned below.
| NPI Number: | 1437785847 |
| Parent Organization: | Modern Dental, Llc |
| NPI Enumeration Date: | 17 Mar, 2020 |
| NPI Last Update On: | 17 Mar, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Modern Dental Cape Coral Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Periodontics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Modern Dental Cape Coral Pllc 14575 Tamiami Trl Ste A, North Port, Florida |
| Zip: | 34287-2743 |
| Phone Number: | 941-888-2362 |
Patients can reach Modern Dental Cape Coral Pllc at
706 Sw Pine Island Rd, Suite 103, Cape Coral, Florida or can
call to book an appointment on 941-610-6200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.