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Advanced Park Dental

NPI 1417407891ActiveOrganization· Dentist· Winter Park, FL

Dentist in Winter Park, Florida, registered in NPPES in October 2016. The authorized official on file is Mitesh Jivan, DMD, Owner/Dentist.

Overview

NPI1417407891
StatusActive
Entity typeOrganization
NPI issuedOct 10, 2016
Last updated in NPPESOct 10, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDN18726FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Winter Park

All 44 dentists in Winter Park · All dentists in Florida