OrganizationActive
Advanced Park Dental
NPI 1417407891 · Dentist · Winter Park, FL
Advanced Park Dental is a Dentist organization in Winter Park, FL (NPI 1417407891).
Provider details
- NPI number
- 1417407891
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mitesh Jivan, Owner/Dentist(407) 628-0200
- License
- DN18726 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
329 N Park Ave
Suite #360
Winter Park, FL 32789-7408
Phone: (407) 628-0220
Street-level locationGet directions
Mailing address
329 N Park Ave
Winter Park, FL 32789-7408
Registry dates
- Enumerated
- 2016-10-10
- Last updated
- 2016-10-10
Frequently asked questions
- What is Advanced Park Dental's NPI number?
- Advanced Park Dental's National Provider Identifier (NPI) is 1417407891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Park Dental?
- Advanced Park Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Advanced Park Dental located?
- Advanced Park Dental's practice location on file with NPPES is 329 N Park Ave, Winter Park, FL 32789-7408.
- What is Advanced Park Dental's phone number?
- The practice phone number listed in the NPPES registry for Advanced Park Dental is (407) 628-0220.
- Who is the authorized official for Advanced Park Dental?
- The authorized official listed on Advanced Park Dental's NPPES record is Mitesh Jivan, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Park Dental's NPI active?
- Yes — Advanced Park Dental's NPI (1417407891) is active in the NPPES registry as of the last update on 2016-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.