KISSIMMEE MODERN DENTISTRY, PA
NPI 1730076969
Dentist - General Practice in Kissimmee, FL

Q: What is Kissimmee Modern Dentistry, PA's NPI number?

The NPI number for Kissimmee Modern Dentistry, PA is 1730076969. It was assigned to this organization in the NPPES registry on June 20, 2025.

Q: What is Kissimmee Modern Dentistry, PA's specialty?

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

Active since June 20, 2025

4396 W VINE ST, KISSIMMEE, FL 34746(407) 232-6187 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 13, 2026, Jun 20, 2025 (2 updates tracked since 2025).

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About Kissimmee Modern Dentistry, Pa NPPES

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

KISSIMMEE MODERN DENTISTRY, PA (NPI 1730076969) is a healthcare organization registered as a general practice in Kissimmee, Florida and active in the NPI registry since June 2025. The organization lists Brooke Kovinsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1730076969

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKISSIMMEE MODERN DENTISTRY, PA

Location Address4396 W VINE STKissimmee, FL 34746

Mailing AddressPo Box 660041Dallas, TX 75266-0041

Phone(407) 232-6187

Organization SubpartNo

Authorized OfficialBrooke KovinskyOwner · (714) 845-8500

Enumeration DateJune 20, 2025

Last NPPES UpdateMay 13, 20262 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1730076969 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.

4396 W VINE ST, Kissimmee, FL 34746

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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 Ambetter Health, Ambetter of Alabama.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 Kissimmee Modern Dentistry, PA's NPI number?

The NPI number for Kissimmee Modern Dentistry, PA is 1730076969. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Kissimmee Modern Dentistry, PA located?

Kissimmee Modern Dentistry, PA is located at 4396 W Vine St, Kissimmee, FL 34746. The listed phone number is (407) 232-6187.

What is Kissimmee 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 Kissimmee Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Kissimmee 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 Kissimmee Modern Dentistry, PA was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.