OrganizationActive
Excellent Dental PA
NPI 1104576487 · Dentist · Kissimmee, FL
Excellent Dental PA is a Dentist organization in Kissimmee, FL (NPI 1104576487).
Provider details
- NPI number
- 1104576487
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jared Woolf, President(949) 305-2253
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1507 N John Young Pkwy Ste B
Kissimmee, FL 34741-3214
Phone: (949) 305-2253
Street-level locationGet directions
Mailing address
85 Argonaut Ste 220
Aliso Viejo, CA 92656-4105
Registry dates
- Enumerated
- 2022-03-28
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Frequently asked questions
- What is Excellent Dental PA's NPI number?
- Excellent Dental PA's National Provider Identifier (NPI) is 1104576487, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excellent Dental PA?
- Excellent Dental PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Excellent Dental PA located?
- Excellent Dental PA's practice location on file with NPPES is 1507 N John Young Pkwy Ste B, Kissimmee, FL 34741-3214.
- What is Excellent Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Excellent Dental PA is (949) 305-2253.
- Who is the authorized official for Excellent Dental PA?
- The authorized official listed on Excellent Dental PA's NPPES record is Jared Woolf, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excellent Dental PA's NPI active?
- Yes — Excellent Dental PA's NPI (1104576487) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.