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

YOUR KISSIMMEE DENTIST PA
NPI 1750115424
Dentist in Kissimmee, FL

Active since August 27, 2024
1135 W COLUMBIA AVE, KISSIMMEE, FL 34741(407) 933-4343(407) 944-1434 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Your Kissimmee Dentist Pa NPPES

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

YOUR KISSIMMEE DENTIST PA (NPI 1750115424), doing business as Columbia Dental Care, is a healthcare organization registered as a dentist in Kissimmee, Florida and active in the NPI registry since August 2024. The organization lists Carlos Medina, Dentist, as its authorized official.

NPPES Registry Identity

NPI1750115424
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameYOUR KISSIMMEE DENTIST PA
Location Address1135 W COLUMBIA AVEKissimmee, FL 34741-3202
Mailing Address13151 Paloma DrOrlando, FL 32837-8723 · (808) 407-8085
Phone(407) 933-4343
Fax(407) 944-1434
Organization SubpartNo
Authorized OfficialCarlos MedinaDentist · (386) 717-5458
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1750115424 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.
1135 W COLUMBIA AVE, Kissimmee, FL 34741
Open in Google Maps ↗

Other Names 1

Doing Business AsColumbia Dental Care

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

Other Providers at the Same Location NPPES

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

LASTING SMILES OF KISSIMMEE LLC
Dentist
1135 W COLUMBIA AVE
KISSIMMEE, FL 34741
Osceola County (407) 933-4343

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 Your Kissimmee Dentist PA's NPI number?

The NPI number for Your Kissimmee Dentist PA is 1750115424. It was assigned to this organization in the NPPES registry on August 27, 2024. The provider is doing business as Columbia Dental Care.

Where is Your Kissimmee Dentist PA located?

Your Kissimmee Dentist PA is located at 1135 W Columbia Ave, Kissimmee, FL 34741. The listed phone number is (407) 933-4343.

What is Your Kissimmee Dentist PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Your Kissimmee Dentist PA was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.