OrganizationActive
Your Kissimmee Dentist PA
NPI 1750115424 · Dentist · Kissimmee, FL
Your Kissimmee Dentist PA is a Dentist organization in Kissimmee, FL (NPI 1750115424).
Provider details
- NPI number
- 1750115424
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Carlos Medina, Dentist(386) 717-5458
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1135 W Columbia Ave
Kissimmee, FL 34741-3202
Phone: (407) 933-4343
Fax: (407) 944-1434
Street-level locationGet directions
Mailing address
13151 Paloma Dr
Orlando, FL 32837-8723
Other names (DBA / former)
- Doing business as
- Columbia Dental Care
Registry dates
- Enumerated
- 2024-08-27
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Frequently asked questions
- What is Your Kissimmee Dentist PA's NPI number?
- Your Kissimmee Dentist PA's National Provider Identifier (NPI) is 1750115424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Your Kissimmee Dentist PA?
- Your Kissimmee Dentist PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Your Kissimmee Dentist PA located?
- Your Kissimmee Dentist PA's practice location on file with NPPES is 1135 W Columbia Ave, Kissimmee, FL 34741-3202.
- What is Your Kissimmee Dentist PA's phone number?
- The practice phone number listed in the NPPES registry for Your Kissimmee Dentist PA is (407) 933-4343.
- Who is the authorized official for Your Kissimmee Dentist PA?
- The authorized official listed on Your Kissimmee Dentist PA's NPPES record is Carlos Medina, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Your Kissimmee Dentist PA's NPI active?
- Yes — Your Kissimmee Dentist PA's NPI (1750115424) is active in the NPPES registry as of the last update on 2024-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.