1. Home
  2. Directory
  3. Florida
  4. Wildwood
  5. Dentist
  6. NPI Profile

WILDWOOD MODERN DENTISTRY, PA
NPI 1063222149
Dentist - General Practice in Wildwood, FL

Active since January 10, 2025
5297 SUNDANCE TRL, WILDWOOD, FL 34785(352) 663-9773 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wildwood Modern Dentistry, Pa NPPES

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

WILDWOOD MODERN DENTISTRY, PA (NPI 1063222149) is a healthcare organization registered as a general practice in Wildwood, Florida and active in the NPI registry since January 2025. The organization lists Jerin Joseph, Owner, as its authorized official.

NPPES Registry Identity

NPI1063222149
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILDWOOD MODERN DENTISTRY, PA
Location Address5297 SUNDANCE TRLWildwood, FL 34785-7717
Mailing AddressPo Box 660041Dallas, TX 75266-0041
Phone(352) 663-9773
Organization SubpartNo
Authorized OfficialJerin JosephOwner · (714) 845-8500
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1063222149 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.
5297 SUNDANCE TRL, Wildwood, FL 34785
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMAH NABEEL YOUSEF DMD
Dentist
5297 SUNDANCE TRL
WILDWOOD, FL 34785
Sumter County (352) 663-9773

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 Wildwood Modern Dentistry, PA's NPI number?

The NPI number for Wildwood Modern Dentistry, PA is 1063222149. It was assigned to this organization in the NPPES registry on January 10, 2025.

Where is Wildwood Modern Dentistry, PA located?

Wildwood Modern Dentistry, PA is located at 5297 Sundance Trl, Wildwood, FL 34785. The listed phone number is (352) 663-9773.

What is Wildwood Modern Dentistry, PA's specialty?

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

What insurance does Wildwood Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Wildwood Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wildwood Modern Dentistry, PA was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.