EXCELLENT DENTAL PA
NPI 1104576487
Dentist in Kissimmee, FL

Q: What is Excellent Dental PA's NPI number?

The NPI number for Excellent Dental PA is 1104576487. It was assigned to this organization in the NPPES registry on March 28, 2022.

Q: What is Excellent Dental PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 28, 2022

1507 N JOHN YOUNG PKWY STE B, KISSIMMEE, FL 34741(949) 305-2253 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Excellent Dental Pa NPPES

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

EXCELLENT DENTAL PA (NPI 1104576487) is a healthcare organization registered as a dentist in Kissimmee, Florida and active in the NPI registry since March 2022. The organization lists Jared Woolf, President, as its authorized official.

NPPES Registry Identity

NPI1104576487

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameEXCELLENT DENTAL PA

Location Address1507 N JOHN YOUNG PKWY STE BKissimmee, FL 34741-3214

Mailing Address85 Argonaut Ste 220Aliso Viejo, CA 92656-4105 · (949) 305-2253

Phone(949) 305-2253

Organization SubpartNo

Authorized OfficialJared WoolfPresident · (949) 305-2253

Enumeration DateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1104576487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1507 N JOHN YOUNG PKWY STE B, Kissimmee, FL 34741

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

SMILE PLUS DENTAL GROUP INC

Dentist (General Practice)