OrganizationActive
Advanced Dental Inc.
NPI 1669503264 · Dentist · Port Orange, FL
Provider details
- NPI number
- 1669503264
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Luis Soto, President(386) 322-7786
- License
- DN12614 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1525 Herbert St
Suite 101
Port Orange, FL 32129-6106
Phone: (386) 322-7786
Fax: (386) 761-3920
Street-level locationGet directions
Mailing address
1525 Herbert St
Port Orange, FL 32129-6106
Other names (DBA / former)
- Doing business as
- Advanced Dental Care
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.