Organization
FOUNDATION DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PASICZNYK DDS (OWNER)
(239) 946-1881
Entity
Organization
Contact information
Practice address
26811 S BAY DR STE 200, BONITA SPRINGS, FL 34134-4356
(239) 946-1881
Mailing address
26811 S BAY DR STE 200, BONITA SPRINGS, FL 34134-4356
(239) 946-1881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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