Healthcare Provider Details

I. General information

NPI: 1508833476
Provider Name (Legal Business Name): DENNIS F BENTLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 N MILLS AVE
ORLANDO FL
32803-1854
US

IV. Provider business mailing address

1812 N MILLS AVE
ORLANDO FL
32803-1854
US

V. Phone/Fax

Practice location:
  • Phone: 407-897-3499
  • Fax:
Mailing address:
  • Phone: 407-897-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME182858
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: