OrganizationActive
Cosmet Enterprise LLC
NPI 1316119795 · General Practice Dentistry · Summerfield, FL
Provider details
- NPI number
- 1316119795
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- James Costello, Member(352) 408-1400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
10250 Se 167th Place Rd
Suite 3
Summerfield, FL 34491-8682
Phone: (352) 245-0780
Fax: (352) 347-8369
Street-level locationGet directions
Mailing address
10250 Se 167th Place Rd
Summerfield, FL 34491-8682
Other names (DBA / former)
- Doing business as
- Magnolia Dental
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2008-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.