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

Excellent Dental PA

Organization Dentist · NPI 1104576487

Excellent Dental PA is a Dentist in Kissimmee, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

1507 N John Young Pkwy Ste B
Kissimmee, FL 34741-3214
Phone: (949) 305-2253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1104576487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Woolf — President · (949) 305-2253
NPI enumeratedMarch 28, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address85 Argonaut Ste 220, Aliso Viejo, CA 92656-4105

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