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

Mj Dental Services, PA

Organization Dentist · NPI 1659677714

Mj Dental Services, PA is a Dentist in Mount Dora, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
6
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

2230 W Old Highway 441
Mount Dora, FL 32757-3508
Phone: (352) 383-2959
Fax: (352) 735-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN18726 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN6360 (FL)
Dental Hygienist Taxonomy 124Q00000X · Licence DH5118 (FL)
Dental Hygienist Taxonomy 124Q00000X · Licence DH15460 (FL)
Dental Hygienist Taxonomy 124Q00000X · Licence DH5702 (FL)
Dental Assistant Taxonomy 126800000X · Licence 106953 (FL)

Record details

NPI number1659677714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitesh Jivan — President · (352) 383-2959
Other names Mitesh Jivan Dmd
NPI enumeratedFebruary 7, 2011
Last updated in NPPESFebruary 7, 2011
Mailing address2230 West Old Highway 441, Mount Dora, FL 32757-3508

Other providers in Mount Dora