Provider record
Bonnie Misiak DDS
Bonnie Misiak DDS appears in the CMS NPPES public file with a Public Health Dentistry taxonomy and an individual provider record in Wauchula, FL. This page keeps the listing to source-reported address, phone, taxonomy, NPI, and caveat fields.
National Plan and Provider Enumeration System
Data pulled and checked
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1699877860
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 115 K D Revell Rd
Wauchula, FL 33873-2051 - Phone
- (863) 773-4161
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Use this page as a starting point, then confirm details from primary or direct sources.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223D0001X
- Specialty
- Public Health Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026
Additional NPPES taxonomy rows
Other dental taxonomy entries reported to NPPES for this NPI.
- 124Q00000X
- Dental Hygienist














