OrganizationActive
Clermont Kids Dentistry PA
NPI 1164998308 · Pediatric Dentistry · Clermont, FL
Provider details
- NPI number
- 1164998308
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Faraz Tartibi, Owner(407) 446-6644
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1655 E Hwy 50 Ste 101
Clermont, FL 34711-5056
Phone: (407) 446-6644
Approximate (ZIP-level) locationGet directions
Mailing address
416 Harley Ct
Oviedo, FL 32765-8359
Registry dates
- Enumerated
- 2018-10-15
- Last updated
- 2018-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.