Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730400433 Individual Practitioner Male Practitioner

Dr. Kevin Van , DDS

Dentist - General Practice • Clewiston, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Van, DDS is a registered healthcare professional specializing in Dentist - General Practice in Clewiston, FL. Practice services are available at 100 E SUGARLAND HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 E Sugarland Hwy

Clewiston, FL 334402919

Telephone 8639837361
Fax 8639830001
Associated Practice Facility / Clinic
🏢 Captivating Dental Care, P.a. Facility NPI 1912742495

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clewiston, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Clewiston, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN19043

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ernest Collins , DDS

Dentist - General Practice

NPI 1083758841

Doctor of Dental Surgery

Dr. Chinh Van , DDS

Dentist - General Practice

NPI 1144634718

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 11, 2019

Registered at 100 E SUGARLAND HWY, CLEWISTON, FL 334402919 (Tel: 8639837361)

📍
Updated Business Mailing Address September 11, 2019

Registered at 100 E SUGARLAND HWY, CLEWISTON, FL 334402919 (Tel: 8639837361)

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 205 S GLORIA ST, CLEWISTON, FL 334403507 (Tel: 8639837361)

📍
Updated Business Mailing Address September 11, 2012

Registered at 205 S GLORIA ST, CLEWISTON, FL 334403507 (Tel: 8639837361)

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as KEVIN VAN, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Dentist (License #DN19043 in FL)

🟢
Initial NPI Registration & Enumeration June 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730400433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2010
Last Update: September 11, 2019
Sole Proprietor: Yes

Mailing Address

100 E Sugarland Hwy

Clewiston, FL 334402919

Phone: 8639837361

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.