MEDICARE: DAYONE DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1619812310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYONE DENTAL PLLC

Provider Business Mailing Address
First Line	:	7151 UNIVERSITY BLVD UNIT 110
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-6724
Country	:	US
Telephone Number	:	407-710-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7151 UNIVERSITY BLVD UNIT 110
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-6724
Country	:	US
Telephone Number	:	407-710-5000
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MICHAEL ROBERT BERGQUIST
Credential	:	DMD
Telephone Number	:	407-710-5000

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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