ADVANCED PARK DENTAL NPI 1417407891

NPI Details

ADVANCED PARK DENTAL is a dentist in Winter Park, FL. The provider is 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. ADVANCED PARK DENTAL NPI is 1417407891. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

329 N PARK AVE
SUITE #360
WINTER PARK, FL
ZIP 32789-408
Phone: (407) 628-0220

The provider's authorized official is Mitesh Jivan .
The authorized official title is Owner/dentist and has the following contact phone number (407) 628-0200.

The CLIA number assigned to this NPI record is 10D2065229 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: