Healthcare Provider Details

I. General information

NPI: 1619812310
Provider Name (Legal Business Name): DAYONE DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7151 UNIVERSITY BLVD UNIT 110
WINTER PARK FL
32792-6724
US

IV. Provider business mailing address

7151 UNIVERSITY BLVD UNIT 110
WINTER PARK FL
32792-6724
US

V. Phone/Fax

Practice location:
  • Phone: 407-710-5000
  • Fax:
Mailing address:
  • Phone: 407-710-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ROBERT BERGQUIST
Title or Position: DENTIST
Credential: DMD
Phone: 407-710-5000