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PORT ORANGE MODERN DENTISTRY
NPI 1982179818
Dentist in Port Orange, FL

Active since October 08, 2018
1765 DUNLAWTON AVE., SUITE 103, PORT ORANGE, FL 32129(386) 259-3905(386) 259-3905 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Oct 8, 2018 (2 updates tracked since 2018).

About Port Orange Modern Dentistry NPPES

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

PORT ORANGE MODERN DENTISTRY (NPI 1982179818) is a healthcare organization registered as a dentist in Port Orange, Florida and active in the NPI registry since October 2018. The organization lists Minh B Pham, Owner/gp, as its authorized official.

NPPES Registry Identity

NPI1982179818
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePORT ORANGE MODERN DENTISTRY, PA
Location Address1765 DUNLAWTON AVE., SUITE 103Port Orange, FL 32129
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(386) 259-3905
Fax(386) 259-3905
Organization SubpartNo
Authorized OfficialMinh B PhamOwner/gp · (386) 259-3905
Enumeration DateOctober 8, 2018
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1982179818 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.
1765 DUNLAWTON AVE., Port Orange, FL 32129
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Other Names 1

Doing Business AsPort Orange Modern Dentistry

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

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 Port Orange Modern Dentistry, PA's NPI number?

The NPI number for Port Orange Modern Dentistry, PA is 1982179818. It was assigned to this organization in the NPPES registry on October 8, 2018. The provider is doing business as Port Orange Modern Dentistry.

Where is Port Orange Modern Dentistry, PA located?

Port Orange Modern Dentistry, PA is located at 1765 Dunlawton Ave. Suite 103, Port Orange, FL 32129. The listed phone number is (386) 259-3905.

What is Port Orange Modern Dentistry, 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 Port Orange Modern Dentistry, PA was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.