OrganizationActive
Providence Dental LLC
NPI 1407330145 · Dentist · Orlando, FL
Providence Dental LLC is a Dentist organization in Orlando, FL (NPI 1407330145).
Provider details
- NPI number
- 1407330145
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Nadia Kahook, Credentialing Consultant(954) 446-5797
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
12450 E. Colonial Drive Suite 124
Orlando, FL 32826
Phone: (407) 635-0704
Fax: (407) 286-0439
Street-level locationGet directions
Mailing address
12450 E. Colonial Drive Suite 124
Orlando, FL 32826
Registry dates
- Enumerated
- 2018-09-19
- Last updated
- 2018-09-19
Frequently asked questions
- What is Providence Dental LLC's NPI number?
- Providence Dental LLC's National Provider Identifier (NPI) is 1407330145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Dental LLC?
- Providence Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Providence Dental LLC located?
- Providence Dental LLC's practice location on file with NPPES is 12450 E. Colonial Drive Suite 124, Orlando, FL 32826.
- What is Providence Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Dental LLC is (407) 635-0704.
- Who is the authorized official for Providence Dental LLC?
- The authorized official listed on Providence Dental LLC's NPPES record is Nadia Kahook, Credentialing Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Dental LLC's NPI active?
- Yes — Providence Dental LLC's NPI (1407330145) is active in the NPPES registry as of the last update on 2018-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.