OrganizationActive
Kissimmee Modern Dentistry, PA
NPI 1730076969 · General Practice Dentistry · Kissimmee, FL
Kissimmee Modern Dentistry, PA is a General Practice Dentistry organization in Kissimmee, FL (NPI 1730076969).
Provider details
- NPI number
- 1730076969
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brooke Kovinsky, Owner(714) 845-8500
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4396 W Vine St
Kissimmee, FL 34746
Phone: (407) 232-6187
Street-level locationGet directions
Mailing address
Po Box 660041
Dallas, TX 75266-0041
Registry dates
- Enumerated
- 2025-06-20
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is Kissimmee Modern Dentistry, PA's NPI number?
- Kissimmee Modern Dentistry, PA's National Provider Identifier (NPI) is 1730076969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kissimmee Modern Dentistry, PA?
- Kissimmee Modern Dentistry, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kissimmee Modern Dentistry, PA located?
- Kissimmee Modern Dentistry, PA's practice location on file with NPPES is 4396 W Vine St, Kissimmee, FL 34746.
- What is Kissimmee Modern Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Kissimmee Modern Dentistry, PA is (407) 232-6187.
- Who is the authorized official for Kissimmee Modern Dentistry, PA?
- The authorized official listed on Kissimmee Modern Dentistry, PA's NPPES record is Brooke Kovinsky, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kissimmee Modern Dentistry, PA's NPI active?
- Yes — Kissimmee Modern Dentistry, PA's NPI (1730076969) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.