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

Sand Mine Dentistry, PLLC

Organization Dental Clinic/Center · NPI 1255025235

Sand Mine Dentistry, PLLC is a Dental Clinic/Center in Davenport, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

49591 Highway 27 Ste 301
Davenport, FL 33897-9507
Phone: 6
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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

Record details

NPI number1255025235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Kelly — Owner · (407) 432-6224
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address49591 Highway 27 Ste 301, Davenport, FL 33897-9507

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