ADVANCED DENTAL CARE PALM COAST
NPI 1457604522
Dentist in Palm Coast, FL

Active since October 26, 2012CLIA 10D2157867 · Microscopy
3 PINE CONE DR, PALM COAST, FL 32137(386) 447-6550(386) 986-4565 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Dental Care Palm Coast NPPES

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

ADVANCED DENTAL CARE PALM COAST (NPI 1457604522) is a healthcare organization registered as a dentist in Palm Coast, Florida and active in the NPI registry since October 2012. The organization holds a CLIA Microscopy certificate valid through April 30, 2027 and lists Mike Cole, Vp Insurance Plan Management, as its authorized official.

NPPES Registry Identity

NPI1457604522
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameADVANCED DENTAL CARE PALM COAST
Location Address3 PINE CONE DRPalm Coast, FL 32137-8685
Mailing Address3 Pine Cone DrPalm Coast, FL 32137-8685
Fax(386) 986-4565
Organization SubpartNo
Authorized OfficialMike ColeVp Insurance Plan Management · (727) 726-1611
Enumeration DateOctober 26, 2012
NPI 1457604522 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.

3 PINE CONE DR, Palm Coast, FL 32137

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2157867

Advanced Dermatology And Cosmetic Surgery · Palm Coast, FL
Active · expires Apr 30, 2027
CLIA Number10D2157867
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorStephen Eubanks
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery3 Pine Cone Dr Ste 102, Palm Coast, FL 32137
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 10D2155365

Advanced Dermatology And Cosmetic Surgery · Palm Coast, FL
Active · expires Aug 14, 2027
CLIA Number10D2155365
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorRafael Schulze
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery8 Office Park Drive Suite A, Palm Coast, FL 32137
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

Radiology (Diagnostic Radiology)
3 PINE CONE DR, SUITE 101
PALM COAST, FL 32137
Dentist
3 PINE CONE DR, SUITE 108
PALM COAST, FL 32137
Dentist (General Practice)
3 PINE CONE DR, SUITE 108
PALM COAST, FL 32137
Dermatology
3 PINE CONE DR, SUITE 102
PALM COAST, FL 32137
Ophthalmology
3 PINE CONE DR, SUITE 104
PALM COAST, FL 32137
Denturist
3 PINE CONE DR, SUITE 108
PALM COAST, FL 32137
Optometrist
3 PINE CONE DR
PALM COAST, FL 32137
Family Medicine
3 PINE CONE DR, SUITE # 106
PALM COAST, FL 32137

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457604522, enumerated as an "organization" on October 26, 2012.

The provider is located at 3 PINE CONE DR PALM COAST, FL 32137 and the phone number is (386) 447-6550.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter Health and Ambetter of Alabama. Please consult your insurance carrier or call the provider to verify.