Organization
JEFFREY BOURNE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BOURNE DDS (PRESIDENT/OWNER)
(303) 549-3319
Entity
Organization
Contact information
Practice address
15271 MCGREGOR BLVD STE 21, FORT MYERS, FL 33908-1903
(303) 549-3319
Mailing address
15271 MCGREGOR BLVD STE 21, FORT MYERS, FL 33908-1903
(303) 549-3319
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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