OrganizationActive
Sand Mine Dentistry, PLLC
NPI 1255025235 · Dental Clinic/Center · Davenport, FL
Sand Mine Dentistry, PLLC is a Dental Clinic/Center organization in Davenport, FL (NPI 1255025235).
Provider details
- NPI number
- 1255025235
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Kelly, Owner(407) 432-6224
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
49591 Highway 27 Ste 301
Davenport, FL 33897-9507
Phone: 6
Street-level locationGet directions
Mailing address
49591 Highway 27 Ste 301
Davenport, FL 33897-9507
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Frequently asked questions
- What is Sand Mine Dentistry, PLLC's NPI number?
- Sand Mine Dentistry, PLLC's National Provider Identifier (NPI) is 1255025235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sand Mine Dentistry, PLLC?
- Sand Mine Dentistry, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sand Mine Dentistry, PLLC located?
- Sand Mine Dentistry, PLLC's practice location on file with NPPES is 49591 Highway 27 Ste 301, Davenport, FL 33897-9507.
- What is Sand Mine Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sand Mine Dentistry, PLLC is 6.
- Who is the authorized official for Sand Mine Dentistry, PLLC?
- The authorized official listed on Sand Mine Dentistry, PLLC's NPPES record is Peter Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sand Mine Dentistry, PLLC's NPI active?
- Yes — Sand Mine Dentistry, PLLC's NPI (1255025235) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.