OrganizationActive
Port Orange Modern Dentistry, PA
NPI 1982179818 · Dentist · Port Orange, FL
Port Orange Modern Dentistry, PA is a Dentist organization in Port Orange, FL (NPI 1982179818).
Provider details
- NPI number
- 1982179818
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Minh Pham, Owner/Gp(386) 259-3905
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1765 Dunlawton Ave.
Suite 103
Port Orange, FL 32129
Phone: (386) 259-3905
Fax: (386) 259-3905
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Port Orange Modern Dentistry
- Doing business as
- Port Orange Modern Dentistry
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Frequently asked questions
- What is Port Orange Modern Dentistry, PA's NPI number?
- Port Orange Modern Dentistry, PA's National Provider Identifier (NPI) is 1982179818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Orange Modern Dentistry, PA?
- Port Orange Modern Dentistry, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Port Orange Modern Dentistry, PA located?
- Port Orange Modern Dentistry, PA's practice location on file with NPPES is 1765 Dunlawton Ave., Port Orange, FL 32129.
- What is Port Orange Modern Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Port Orange Modern Dentistry, PA is (386) 259-3905.
- Who is the authorized official for Port Orange Modern Dentistry, PA?
- The authorized official listed on Port Orange Modern Dentistry, PA's NPPES record is Minh Pham, Owner/Gp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Orange Modern Dentistry, PA's NPI active?
- Yes — Port Orange Modern Dentistry, PA's NPI (1982179818) is active in the NPPES registry as of the last update on 2022-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.