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HAINES CITY DENTAL
NPI 1053488684
Dentist - General Practice in Haines City, FL

Active since November 29, 2006
35915 US HWY 27, SUITE 2B, HAINES CITY, FL 33844(863) 422-8338(863) 422-5268 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Haines City Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAINES CITY DENTAL (NPI 1053488684) is a healthcare organization registered as a general practice in Haines City, Florida and active in the NPI registry since November 2006. The organization lists James P Costello, President, as its authorized official.

NPPES Registry Identity

NPI1053488684
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHOENIX ADVANCED INC
Location Address35915 US HWY 27, SUITE 2BHaines City, FL 33844-3737
Mailing Address35915 Us Hwy 27, Suite 2bHaines City, FL 33844-3737 · (863) 422-8338 · Fax (863) 422-5268
Phone(863) 422-8338
Fax(863) 422-5268
Organization SubpartNo
Authorized OfficialJames P CostelloPresident · (352) 408-1400
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053488684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

35915 US HWY 27, Haines City, FL 33844
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Other Names 1

Doing Business AsHaines City Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Advanced Inc's NPI number?

The NPI number for Phoenix Advanced Inc is 1053488684. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Haines City Dental.

Where is Phoenix Advanced Inc located?

Phoenix Advanced Inc is located at 35915 Us Hwy 27 Suite 2B, Haines City, FL 33844. The listed phone number is (863) 422-8338.

What is Phoenix Advanced Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phoenix Advanced Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.