ADVANCED PARK DENTAL
NPI 1417407891
Dentist in Winter Park, FL

Q: What is Advanced Park Dental's NPI number?

The NPI number for Advanced Park Dental is 1417407891. It was assigned to this organization in the NPPES registry on October 10, 2016.

Q: What is Advanced Park Dental's specialty?

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

Active since October 10, 2016

329 N PARK AVE, SUITE #360, WINTER PARK, FL 32789(407) 628-0220 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Advanced Park Dental NPPES

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

ADVANCED PARK DENTAL (NPI 1417407891) is a healthcare organization registered as a dentist in Winter Park, Florida and active in the NPI registry since October 2016. The organization lists Mitesh Jivan, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1417407891

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameADVANCED PARK DENTAL

Location Address329 N PARK AVE, SUITE #360Winter Park, FL 32789-7408

Mailing Address329 N Park Ave, Suite #360Winter Park, FL 32789-7408 · (407) 628-0220

Phone(407) 628-0220

Organization SubpartNo

Authorized OfficialMitesh JivanOwner/dentist · (407) 628-0200

Enumeration DateOctober 10, 2016

✔ NPI 1417407891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN18726

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.

329 N PARK AVE, Winter Park, FL 32789

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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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Advanced Park Dental's NPI number?

The NPI number for Advanced Park Dental is 1417407891. It was assigned to this organization in the NPPES registry on October 10, 2016.

Where is Advanced Park Dental located?

Advanced Park Dental is located at 329 N Park Ave Suite #360, Winter Park, FL 32789. The listed phone number is (407) 628-0220.

What is Advanced Park Dental's specialty?

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

What insurance does Advanced Park Dental accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Park Dental 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 Advanced Park Dental was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.