OrganizationActive
Davenport Modern Dentistry, PA
NPI 1568005999 · Dentist · Davenport, FL
Davenport Modern Dentistry, PA is a Dentist organization in Davenport, FL (NPI 1568005999).
Provider details
- NPI number
- 1568005999
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Minh Pham, Owner/Dds(863) 777-9890
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1159 Posner Blvd
Davenport, FL 33837-3664
Phone: (863) 777-9890
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Davenport Modern Dentistry
- Doing business as
- Davenport Modern Dentistry
Registry dates
- Enumerated
- 2019-10-17
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Frequently asked questions
- What is Davenport Modern Dentistry, PA's NPI number?
- Davenport Modern Dentistry, PA's National Provider Identifier (NPI) is 1568005999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Davenport Modern Dentistry, PA?
- Davenport Modern Dentistry, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Davenport Modern Dentistry, PA located?
- Davenport Modern Dentistry, PA's practice location on file with NPPES is 1159 Posner Blvd, Davenport, FL 33837-3664.
- What is Davenport Modern Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Davenport Modern Dentistry, PA is (863) 777-9890.
- Who is the authorized official for Davenport Modern Dentistry, PA?
- The authorized official listed on Davenport Modern Dentistry, PA's NPPES record is Minh Pham, Owner/Dds. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Davenport Modern Dentistry, PA's NPI active?
- Yes — Davenport Modern Dentistry, PA's NPI (1568005999) is active in the NPPES registry as of the last update on 2022-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.