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

Kissimmee Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1730076969

Kissimmee Modern Dentistry, PA is a General Practice Dentistry in Kissimmee, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

4396 W Vine St
Kissimmee, FL 34746
Phone: (407) 232-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1730076969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooke Kovinsky — Owner · (714) 845-8500
NPI enumeratedJune 20, 2025
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing addressPo Box 660041, Dallas, TX 75266-0041

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