MEDICARE: ENGLE DENTISTRY NAPLES LLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1912862715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENGLE DENTISTRY NAPLES LLC

Provider Business Mailing Address
First Line	:	5623 NAPLES BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2023
Country	:	US
Telephone Number	:	239-213-1500
Fax Number	:	239-213-1500

Provider Business Practice Location Address
First Line	:	1390 9TH ST N
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5203
Country	:	US
Telephone Number	:	239-213-1500
Fax Number	:	239-213-1500

Authorized Official
Title or Position	:	OWNER
Name	:	BRADLEY J ENGLE
Credential	:	DMD MHS
Telephone Number	:	239-213-1500

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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