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

Your Kissimmee Dentist PA

Organization Dentist · NPI 1750115424

Your Kissimmee Dentist PA is a Dentist in Kissimmee, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

1135 W Columbia Ave
Kissimmee, FL 34741-3202
Phone: (407) 933-4343
Fax: (407) 944-1434
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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 number1750115424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Medina — Dentist · (386) 717-5458
Other names Columbia Dental Care
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address13151 Paloma Dr, Orlando, FL 32837-8723

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