OrganizationActive
Phoenix Advanced Inc
NPI 1053488684 · General Practice Dentistry · Haines City, FL
Phoenix Advanced Inc is a General Practice Dentistry organization in Haines City, FL (NPI 1053488684).
Provider details
- NPI number
- 1053488684
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- James Costello, President(352) 408-1400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35915 US Hwy 27
Suite 2b
Haines City, FL 33844-3737
Phone: (863) 422-8338
Fax: (863) 422-5268
Street-level locationGet directions
Mailing address
35915 US Hwy 27
Haines City, FL 33844-3737
Other names (DBA / former)
- Doing business as
- Haines City Dental
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Phoenix Advanced Inc's NPI number?
- Phoenix Advanced Inc's National Provider Identifier (NPI) is 1053488684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Advanced Inc?
- Phoenix Advanced Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Phoenix Advanced Inc located?
- Phoenix Advanced Inc's practice location on file with NPPES is 35915 US Hwy 27, Haines City, FL 33844-3737.
- What is Phoenix Advanced Inc's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Advanced Inc is (863) 422-8338.
- Who is the authorized official for Phoenix Advanced Inc?
- The authorized official listed on Phoenix Advanced Inc's NPPES record is James Costello, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Advanced Inc's NPI active?
- Yes — Phoenix Advanced Inc's NPI (1053488684) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.