Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Envision Dental Services PA

Organization Dental Clinic/Center · NPI 1629861661

Envision Dental Services PA is a Dental Clinic/Center in Port Orange, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

870 Dunlawton Ave Ste 110
Port Orange, FL 32127-9274
Phone: (386) 256-4786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1629861661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aline Bowers — Owner · (386) 256-4786
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address870 Dunlawton Ave Ste 110, Port Orange, FL 32127-9274

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